| Entity Name: | EAST LAKE CHIROPRACTIC & MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jan 2018 (7 years ago) |
| Document Number: | P18000006167 |
| FEI/EIN Number | 82-4159952 |
| Address: | 4044 13TH STREET, ST. CLOUD, FL, 34769, US |
| Mail Address: | 4044 13TH STREET, ST. CLOUD, FL, 34769, US |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811495617 | 2018-01-26 | 2018-03-17 | 4028 13TH ST, SAINT CLOUD, FL, 347696773, US | 4028 13TH ST, SAINT CLOUD, FL, 347696773, US | |||||||||||||||
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| Phone | +1 407-957-9995 |
| Fax | 4079577536 |
Authorized person
| Name | DR. CHRISTOPHER MCNICHOLS |
| Role | OWNER |
| Phone | 4079579995 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| McNichols Christopher L | Agent | 4044 13TH STREET, ST. CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| MCNICHOLS CHRIS | President | 4044 13TH STREET, ST. CLOUD, FL, 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-07 | McNichols, Christopher L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-07 | 4044 13TH STREET, ST. CLOUD, FL 34769 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-06 | 4044 13TH STREET, ST. CLOUD, FL 34769 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-06 | 4044 13TH STREET, ST. CLOUD, FL 34769 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-05 |
| AMENDED ANNUAL REPORT | 2022-06-06 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-03-04 |
| Domestic Profit | 2018-01-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
