| Entity Name: | DR. GEORGE BLACKWELL INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jan 2019 (6 years ago) |
| Document Number: | P19000006699 |
| FEI/EIN Number | 83-3332966 |
| Address: | 1967 SE Port St Lucie Blvd, Port St Lucie, FL, 34952, US |
| Mail Address: | 1967 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790300127 | 2020-06-11 | 2020-06-11 | 1967 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525536, US | 1967 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525536, US | |||||||||||||||||||
|
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| Phone | +1 772-335-3110 |
| Fax | 7723980704 |
Authorized person
| Name | DR. GEORGE BLACKWELL III |
| Role | PRESIDENT |
| Phone | 3864516561 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BLACKWELL GEORGE HIII | Agent | 537 SE Crathes St, Port St Lucie, FL, 34984 |
| Name | Role | Address |
|---|---|---|
| BLACKWELL GEORGE HIII | President | 1967 SE Port St Lucie Blvd, Port St Lucie, FL, 34952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000144189 | PSL HEALTH CENTER | ACTIVE | 2020-11-09 | 2025-12-31 | No data | 1967 SE PORT ST. LUCIE BLVD, PORT ST. LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-01 | 537 SE Crathes St, Port St Lucie, FL 34984 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-19 | 1967 SE Port St Lucie Blvd, Port St Lucie, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2020-10-08 | 1967 SE Port St Lucie Blvd, Port St Lucie, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-26 |
| ANNUAL REPORT | 2020-01-20 |
| Domestic Profit | 2019-01-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
