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JOSEPH PEREZ, D.C., P.A.

Company Details

Entity Name: JOSEPH PEREZ, D.C., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 31 May 2022 (3 years ago)
Document Number: P22000044976
FEI/EIN Number 88-2600671
Address: 7950 S MILITARY TRAIL, #105, LAKE WORTH, FL 33463
Mail Address: 7950 S MILITARY TRAIL, #105, LAKE WORTH, FL 33463
ZIP code: 33463
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831930031 2024-06-03 2024-06-05 7950 S MILITARY TRL STE 105, LAKE WORTH, FL, 334638162, US 7950 S MILITARY TRL STE 105, LAKE WORTH, FL, 334638162, US

Contacts

Phone +1 561-600-1091
Fax 5612448040

Authorized person

Name DR. JOSEPH PEREZ
Role OWNER/PROVIDER
Phone 5616001091

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
PEREZ, JOSEPH A, D.C. Agent 7950 S MILITARY TRAIL, #105, LAKE WORTH, FL 33463

President

Name Role Address
PEREZ, JOSEPH A, D.C. President 7950 S MILITARY TRAIL, #105, LAKE WORTH, FL 33463

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000069923 ACTIVE EDGE CHIROPRACTIC ACTIVE 2022-06-08 2027-12-31 No data 7950 S MILITARY TRAIL, #105, LAKE WORTH, FL, 33463

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-04-13
Domestic Profit 2022-05-31

Date of last update: 11 Feb 2025

Sources: Florida Department of State