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FUNCTIONALLY FIT CHIROPRACTIC INC.

Company Details

Entity Name: FUNCTIONALLY FIT CHIROPRACTIC INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Jul 2021 (4 years ago)
Document Number: P21000067839
FEI/EIN Number 872025388
Address: 3802 MURRELL RD, ROCKLEDGE, FL, 32955, US
Mail Address: 3802 MURRELL RD, ROCKLEDGE, FL, 32955, US
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679391635 2024-09-30 2024-10-14 3802 MURRELL RD, ROCKLEDGE, FL, 329554741, US 3802 MURRELL RD, ROCKLEDGE, FL, 329554741, US

Contacts

Phone +1 321-877-2090
Fax 3213490217

Authorized person

Name DR. GERALD S BOWMAN
Role OWNER/DOCTOR
Phone 3218772090

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer CHIROPRACTOR
Number 1679391635
State FL

Agent

Name Role Address
BOWMAN GERALD Agent 3802 MURRELL RD, ROCKLEDGE, FL, 32955

President

Name Role Address
BOWMAN GERALD President 3802 MURRELL RD, ROCKLEDGE, FL, 32955

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-03-30
Domestic Profit 2021-07-26

Date of last update: 03 Feb 2025

Sources: Florida Department of State