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CHIRO-THERAPY SERVICE,PA

Company Details

Entity Name: CHIRO-THERAPY SERVICE,PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 16 Mar 2023 (2 years ago)
Document Number: P23000022359
FEI/EIN Number 93-4028006
Address: 1501 FOREST HILL BLVD, 103, WEST PALM BEACH, FL 33406
Mail Address: 1501 FOREST HILL BLVD, 103, WEST PALM BEACH, FL 33406
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205618485 2023-10-20 2023-10-20 1501 FOREST HILL BLVD STE 103, WEST PALM BEACH, FL, 334066081, US 1501 FOREST HILL BLVD STE 103, WEST PALM BEACH, FL, 334066081, US

Contacts

Phone +1 561-432-5090
Fax 5614331565

Authorized person

Name GARRY D MILLIEN
Role PRESIDENT
Phone 5612544779

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
MILLIEN G, ARRY D Agent 1501 FOREST HILL BLVD, 103, WEST PALM BEACH, FL 33406

President

Name Role Address
MILLIEN, GARRY D President 1501 FOREST HILL BLVD, @103 WEST PALM BEACH, FL 33406

Documents

Name Date
ANNUAL REPORT 2024-04-30
Domestic Profit 2023-03-16

Date of last update: 10 Jan 2025

Sources: Florida Department of State