| Entity Name: | GLORIA Z. MOORE, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 10 Nov 1994 (30 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Jul 2023 (2 years ago) |
| Document Number: | P94000083731 |
| FEI/EIN Number | 59-3275909 |
| Address: | 101 WHITEHALL DRIVE, SUITE 102, SAINT AUGUSTINE, FL 32086 |
| Mail Address: | 101 WHITEHALL DRIVE, SUITE 102, SAINT AUGUSTINE, FL 32086 |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417196106 | 2009-02-19 | 2009-02-19 | 101 WHITEHALL DR, SUITE 102, ST AUGUSTINE, FL, 320865268, US | 101 WHITEHALL DR, SUITE 102, ST AUGUSTINE, FL, 320865268, US | |||||||||||||||||||||||||
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| Phone | +1 904-794-0909 |
| Fax | 9047946700 |
Authorized person
| Name | DR. GLORIA Z. MOORE |
| Role | PRESIDENT |
| Phone | 9047940909 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH 6819 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1508814856 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOORE, GLORIA Z | Agent | 101 WHITEHALL DRIVE, SUITE 102, SAINT AUGUSTINE, FL 32086 |
| Name | Role | Address |
|---|---|---|
| MOORE, GLORIA Z | Director | 9605 US ONE SOUTH, ST. AUGUSTINE, FL 32086 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000079344 | MOORE CHIROPRACTIC AND WELLNESS CENTER | EXPIRED | 2013-08-09 | 2018-12-31 | No data | 101 WHITEHALL DRIVE, STE 102, ST. AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-07-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-07-11 | MOORE, GLORIA Z | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-02 | 101 WHITEHALL DRIVE, SUITE 102, SAINT AUGUSTINE, FL 32086 | No data |
| CHANGE OF MAILING ADDRESS | 2009-02-02 | 101 WHITEHALL DRIVE, SUITE 102, SAINT AUGUSTINE, FL 32086 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-02 | 101 WHITEHALL DRIVE, SUITE 102, SAINT AUGUSTINE, FL 32086 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| REINSTATEMENT | 2023-07-11 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-05-09 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-03-16 |
| ANNUAL REPORT | 2014-04-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
