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ELITE CHIROPRACTIC CLINIC, INC

Company Details

Entity Name: ELITE CHIROPRACTIC CLINIC, INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 10 Oct 2024 (4 months ago)
Document Number: P24000063758
FEI/EIN Number 33-1479618
Address: 3066 S Jog Rd, GREENACRES, FL 33467
Mail Address: 3066 S Jog Rd, GREENACRES, FL 33467
ZIP code: 33467
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437970225 2024-10-23 2024-10-23 4300 S JOG RD UNIT 540594, GREENACRES, FL, 334545027, US 4300 S JOG RD UNIT 540594, GREENACRES, FL, 334545027, US

Contacts

Phone +1 786-407-7777

Authorized person

Name DR. SANTIAGO LOPEZ
Role CEO
Phone 7864077777

Taxonomy

Taxonomy Code 111NR0400X - Rehabilitation Chiropractor
Is Primary Yes

Agent

Name Role Address
LOPEZ, SANTIAGO Agent 3066 S JOG RD, GREENACRES, FL 33467

Chief Executive Officer

Name Role Address
LOPEZ, SANTIAGO Chief Executive Officer 3066 S Jog Rd, Greenacres, FL 33467

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-02 3066 S Jog Rd, GREENACRES, FL 33467 No data
CHANGE OF MAILING ADDRESS 2025-02-02 3066 S Jog Rd, GREENACRES, FL 33467 No data
REGISTERED AGENT ADDRESS CHANGED 2025-02-02 3066 S JOG RD, GREENACRES, FL 33467 No data

Documents

Name Date
ANNUAL REPORT 2025-02-02
Domestic Profit 2024-10-10

Date of last update: 07 Feb 2025

Sources: Florida Department of State