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FLORIDA COAST CHIROPRACTIC CLINIC INCORPORATED

Company Details

Entity Name: FLORIDA COAST CHIROPRACTIC CLINIC INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Nov 2016 (8 years ago)
Last Event: AMENDMENT
Event Date Filed: 23 Dec 2016 (8 years ago)
Document Number: P16000091826
FEI/EIN Number 814470189
Address: 3821 Woodbriar Trail, Port Orange, FL, 32129, US
Mail Address: 3821 Woodbriar Trail, Port Orange, FL, 32129, US
ZIP code: 32129
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740725761 2016-12-29 2021-04-08 3821 WOODBRIAR TRAIL, SUITE 3, PORT ORANGE, FL, 32129, US 3821 WOODBRIAR TRAIL, SUITE 3, PORT ORANGE, FL, 32129, US

Contacts

Phone +1 386-265-1579
Fax 3862651579

Authorized person

Name DR. CHRIS TATALOVICH
Role OWNER
Phone 3862651579

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH9744
State FL
Is Primary Yes

Agent

Name Role Address
TATALOVICH CHRIS Agent 3821 Woodbriar Trail, Port Orange, FL, 32129

President

Name Role Address
TATALOVICH CHRIS President 3821 Woodbriar Trail, Port Orange, FL, 32129

Treasurer

Name Role Address
TATALOVICH CHRIS Treasurer 3821 Woodbriar Trail, Port Orange, FL, 32129

Director

Name Role Address
TATALOVICH CHRIS Director 3821 Woodbriar Trail, Port Orange, FL, 32129

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-06 3821 Woodbriar Trail, Suite 103, Port Orange, FL 32129 No data
CHANGE OF MAILING ADDRESS 2022-02-06 3821 Woodbriar Trail, Suite 103, Port Orange, FL 32129 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-06 3821 Woodbriar Trail, Suite 103, Port Orange, FL 32129 No data
AMENDMENT 2016-12-23 No data No data
REGISTERED AGENT NAME CHANGED 2016-12-23 TATALOVICH, CHRIS No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-02-06
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-06-13
ANNUAL REPORT 2018-04-05
Amendment 2016-12-23
Domestic Profit 2016-11-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State