| Entity Name: | OLD TARPON CHIROPRACTIC, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Apr 2023 (2 years ago) |
| Document Number: | P23000033790 |
| FEI/EIN Number | 92-3838091 |
| Address: | 23 E TARPON AVE, TARPON SPRINGS, FL 34689 |
| Mail Address: | 23 E TARPON AVE, TARPON SPRINGS, FL 34689 |
| ZIP code: | 34689 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538927603 | 2024-03-12 | 2024-03-12 | 23 E TARPON AVE, TARPON SPRINGS, FL, 346893449, US | 23 E TARPON AVE, TARPON SPRINGS, FL, 346893449, US | |||||||||||||||||||||
|
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| Phone | +1 727-939-5870 |
Authorized person
| Name | KENNETH BARRETT |
| Role | DIRECTOR |
| Phone | 7279395870 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BARRETT, KENNETH M | Agent | 23 E TARPON AVE, TARPON SPRINGS, FL 34689 |
| Name | Role | Address |
|---|---|---|
| BARRETT, KENNETH M | Manager | 23 E TARPON AVE, TARPON SPRINGS, FL 34689 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000024296 | TARPON INTEGRATIVE MEDICINE | ACTIVE | 2024-02-13 | 2029-12-31 | No data | 23 EAST TARPON AVE., TARPON SPRINGS, FL, 34689 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-01 | 23 E TARPON AVE, TARPON SPRINGS, FL 34689 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-12-01 | 23 E TARPON AVE, TARPON SPRINGS, FL 34689 | No data |
| CHANGE OF MAILING ADDRESS | 2023-12-01 | 23 E TARPON AVE, TARPON SPRINGS, FL 34689 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| Domestic Profit | 2023-04-28 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
