| Entity Name: | S & B CHIROPRACTIC AND REHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Dec 2016 (8 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 26 Jan 2017 (8 years ago) |
| Document Number: | P16000101014 |
| FEI/EIN Number | 814802951 |
| Address: | 14521 BRUCE B. DOWNS BLVD, TAMPA, FL, 33613, US |
| Mail Address: | P.O. Box 48558, TAMPA, FL, 33646, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770028474 | 2017-01-04 | 2017-01-05 | PO BOX 48558, TAMPA, FL, 336460122, US | 14523 BRUCE B DOWNS BLVD, STE 405, TAMPA, FL, 336136501, US | |||||||||||||||||||||||
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| Phone | +1 813-359-9049 |
Authorized person
| Name | BRITTIN BEAULIEU |
| Role | PRESIDENT |
| Phone | 7272720501 |
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 | Agent | 14521 Bruce B. Downs BLVD, Tampa, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| BEAULIEU BRITTIN | President | 14521 BRUCE B. DOWNS BLVD., TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-31 | 14521 BRUCE B. DOWNS BLVD, ste 303, TAMPA, FL 33613 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-31 | 14521 Bruce B. Downs BLVD, Ste 303, Tampa, FL 33613 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-11 | 14521 BRUCE B. DOWNS BLVD, ste 303, TAMPA, FL 33613 | No data |
| AMENDMENT | 2017-01-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-03-22 |
| Amendment | 2017-01-26 |
| Domestic Profit | 2016-12-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
