| Entity Name: | LAMOUNETTE CHIROPRACTIC CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 22 Feb 2021 (4 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P21000019185 |
| Address: | 6671 HYDE GROVE AVENUE, JACKSONVILLE, FL 32210 |
| Mail Address: | 6671 HYDE GROVE AVENUE, JACKSONVILLE, FL 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942878327 | 2021-06-14 | 2021-06-14 | 6671 HYDE GROVE AVE, JACKSONVILLE, FL, 322102839, US | 6671 HYDE GROVE AVE, JACKSONVILLE, FL, 322102839, US | |||||||||||||||||||||
|
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| Phone | +1 904-783-3700 |
| Fax | 9045623314 |
Authorized person
| Name | DR. ROBERT G LAMOUNETTE |
| Role | OWNER |
| Phone | 9047833700 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381560900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAMOUNETTE, ROBERT G | Agent | 4557 BASS PLACE SOUTH, JACKSONVILLE, FL 32210 |
| Name | Role | Address |
|---|---|---|
| WINKLER, JOHN G | President | 4557 BASS PLACE SOUTH, JACKSONVILLE, FL 32210 |
| Name | Role | Address |
|---|---|---|
| LAMOUNETTE, ROBERTA J | Vice President | 4557 BASS PLACE SOUTH, JACKSONVILLE, FL 32210 |
| Name | Role | Address |
|---|---|---|
| LAMOUNETTE, ROBERT G | Treasurer | 4557 BASS PLACE SOUTH, JACKSONVILLE, FL 32210 |
| Name | Role | Address |
|---|---|---|
| LAMOUNETTE, ROBERT G | Director | 4557 BASS PLACE SOUTH, JACKSONVILLE, FL 32210 |
| Name | Role | Address |
|---|---|---|
| LAMOUNETTE, ROBERTA J | Secretary | 4557 BASS PLACE SOUTH, JACKSONVILLE, FL 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| ARTICLES OF CORRECTION | 2021-03-18 | No data | No data |
| Name | Date |
|---|---|
| Articles of Correction | 2021-03-18 |
| Domestic Profit | 2021-02-22 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
