| Entity Name: | DELRAY CHIROPRACTIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Dec 1993 (31 years ago) |
| Document Number: | P93000086397 |
| FEI/EIN Number | 65-0455917 |
| Address: | 1080 South Federal Hwy, Boynton Beach, FL 33435 |
| Mail Address: | 1080 S Federal Hwy, Boynton Beach, FL 33435 |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992987895 | 2007-12-03 | 2020-11-09 | 1080 S FEDERAL HWY, BOYNTON BEACH, FL, 334355614, US | 1080 S FEDERAL HWY, BOYNTON BEACH, FL, 334355614, US | |||||||||||||||||||||||||
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| Phone | +1 561-272-2000 |
| Fax | 5612721111 |
Authorized person
| Name | DR. NICOLE CONYERS JASPER |
| Role | OWNER |
| Phone | 5612722000 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8220 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FLORIDA |
| Number | 24877 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JASPER, NICOLE DR. | Agent | 1080 South Federal Hwy, Boynton Beach, FL 33435 |
| Name | Role | Address |
|---|---|---|
| JASPER, NICOLE DR. | President | 436 SW 4TH AVE, BOYNTON BEACH, FL 33435 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000099537 | NICOLE C. JASPER D.C. | EXPIRED | 2011-10-10 | 2016-12-31 | No data | 1642 SOUTH FEDERAL HIGHWAY, DELRAY BEACH, FL, 33483 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-04-30 | 1080 South Federal Hwy, Boynton Beach, FL 33435 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 1080 South Federal Hwy, Boynton Beach, FL 33435 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-16 | 1080 South Federal Hwy, Boynton Beach, FL 33435 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-08-31 | JASPER, NICOLE DR. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-07 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-02 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
