| Entity Name: | MARTIN K. BLANKENSHIP DC, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P16000078278 |
| FEI/EIN Number | 81-3984495 |
| Address: | 3862 Central Ave, St Petersburg, FL, 33711, US |
| Mail Address: | 3862 Central Ave, St Petersburg, FL, 33711, US |
| ZIP code: | 33711 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407399017 | 2016-11-30 | 2016-11-30 | 3862 CENTRAL AVE, ST PETERSBURG, FL, 337111202, US | 3862 CENTRAL AVE, ST PETERSBURG, FL, 337111202, US | |||||||||||||||||||
|
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| Phone | +1 727-388-0966 |
| Fax | 7273102996 |
Authorized person
| Name | MRS. LOUISE ANNE BLANKENSHIP |
| Role | PRACTICE MANAGER |
| Phone | 7273109401 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9915 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Rodrigues David SCPA | Agent | 101 N Missouri Ave, Clearwater, FL, 33755 |
| Name | Role | Address |
|---|---|---|
| BLANKENSHIP MARTIN K | President | 4642 HELENA STREET NE, ST. PETERSBURG, FL, 33703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-02-15 | 3862 Central Ave, St Petersburg, FL 33711 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-27 | Rodrigues, David S, CPA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-27 | 101 N Missouri Ave, 2, Clearwater, FL 33755 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-17 | 3862 Central Ave, St Petersburg, FL 33711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-01-27 |
| AMENDED ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-03-27 |
| Domestic Profit | 2016-09-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
