| Entity Name: | WECKER CHIROPRACTIC CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Jul 1993 (31 years ago) |
| Document Number: | P93000052642 |
| FEI/EIN Number | 593195183 |
| Address: | 551 S APOLLO BLVD, 105, MELBOURNE, FL, 32901, US |
| Mail Address: | 551 S APOLLO BLVD, 105, MELBOURNE, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982914297 | 2010-10-20 | 2013-12-09 | 551 S APOLLO BLVD, SUITE 105, MELBOURNE, FL, 329011274, US | 551 S APOLLO BLVD, SUITE 105, MELBOURNE, FL, 329011274, US | |||||||||||||||||||||||
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| Phone | +1 321-727-1555 |
Authorized person
| Name | MR. RICHARD J. WECKER |
| Role | OWNER |
| Phone | 3217271555 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH3796 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 050957400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KAHN MICHAEL H | Agent | 482 N. HARBOR CITY BLVD., MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| WECKER RICHARD J | Director | 551 S APOLLO BLVD STE 105, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-12-29 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
