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DR. EVAN CRICHTON DC PA

Company Details

Entity Name: DR. EVAN CRICHTON DC PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 02 Feb 2022 (3 years ago)
Document Number: P22000010308
FEI/EIN Number 87-4772164
Mail Address: 4279 SOUTH HWY 27, SUITE E, CLERMONT, FL 34711
Address: 3316 CHIQUITA BLVD S, CAPE CORAL, FL 33914
ZIP code: 33914
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801543566 2022-03-03 2024-04-18 3316 CHIQUITA BLVD S STE 1, CAPE CORAL, FL, 339145111, US 3316 CHIQUITA BLVD S STE 1, CAPE CORAL, FL, 339145111, US

Contacts

Phone +1 239-800-5197

Authorized person

Name DR. EVAN W CRICHTON
Role PRESIDENT
Phone 9377760601

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role
TAXPROS OF CLERMONT "LLC" Agent

President

Name Role Address
CRICHTON, EVAN President 3316 CHIQUITA BLVD S, CAPE CORAL, FL 33914

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000116842 CHIROPRACTIC FOR KIDS AND ADULTS ACTIVE 2022-09-15 2027-12-31 No data 3316 CHIQUITA BLVD S, SUITE 1, CAPE CORAL, FL, 33914

Documents

Name Date
ANNUAL REPORT 2024-01-11
ANNUAL REPORT 2023-01-21
Domestic Profit 2022-02-02

Date of last update: 13 Jan 2025

Sources: Florida Department of State