| Entity Name: | BRITT'S CHIROPRACTIC AND WELLNESS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Nov 2015 (9 years ago) |
| Date of dissolution: | 17 Jun 2024 (8 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Jun 2024 (8 months ago) |
| Document Number: | P15000091333 |
| FEI/EIN Number | 475494425 |
| Address: | 14523 BRUCE B DOWNS BLVD, TAMPA, FL, 33613, US |
| Mail Address: | 14523 BRUCE B DOWNS BLVD, TAMPA, FL, 33613, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861938706 | 2017-01-17 | 2017-01-17 | 1419 W WATERS AVE, STE 114, TAMPA, FL, 336042895, US | 1419 W WATERS AVE, STE 114, TAMPA, FL, 336042895, US | |||||||||||||||||||||||
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| Phone | +1 813-549-0339 |
Authorized person
| Name | BRITTIN BEAULIEU |
| Role | PRESIDENT |
| Phone | 8133599049 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | CH10085 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 200843480 |
| State | IN |
| Name | Role | Address |
|---|---|---|
| BEAULIEU BRITTIN A | Agent | 14523 Bruce B. Downs, Tampa, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| BEAULIEU BRITTIN A | President | P.O. Box 48558, Tampa, FL, 33646 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-31 | 14523 BRUCE B DOWNS BLVD, STE 405, TAMPA, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-31 | 14523 BRUCE B DOWNS BLVD, STE 405, TAMPA, FL 33613 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-22 | 14523 Bruce B. Downs, Ste 405, Tampa, FL 33613 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-17 | BEAULIEU, BRITTIN A | No data |
| REINSTATEMENT | 2016-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-17 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-04-24 |
| REINSTATEMENT | 2016-10-17 |
| Domestic Profit | 2015-11-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
