| Entity Name: | WESTSIDE CHIROPRACTIC AND INJURY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Aug 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: | P21000072919 |
| Address: | 220 SW 84TH AVE, 201, PLANTATION, FL 33324 |
| Mail Address: | 600 W. LAS OLAS BLVD, UNIT 2005, FT. LAUDERDALE, FL 33312 |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629722541 | 2022-02-09 | 2022-02-09 | 220 SW 84TH AVE STE 201, PLANTATION, FL, 333242729, US | 220 SW 84TH AVE STE 201, PLANTATION, FL, 333242729, US | |||||||||||||||
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| Phone | +1 954-634-3438 |
| Fax | 9545847209 |
Authorized person
| Name | SUZANNE ROACH |
| Role | OFFICE MANAGER |
| Phone | 9546343438 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HACKER, BRAD M | Agent | 8570 STIRLING RD., SUITE102-125, HOLLYWOOD, FL 33024 |
| Name | Role | Address |
|---|---|---|
| PERDECK, LEE M, DR. | President | 220 SW 84TH AVE SUITE 201, PLANTATION, FL 33324 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000138962 | MEDX CHIROPRACTIC AND INJURY CENTER | ACTIVE | 2021-10-15 | 2026-12-31 | No data | 220 SW 84TH AVENUE, SUITE 201, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000416170 | TERMINATED | 1000001000843 | BROWARD | 2024-06-25 | 2034-07-03 | $ 1,042.13 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| Domestic Profit | 2021-08-13 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
