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