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THORNTON CHIROPRACTIC CENTER, P.A.

Company Details

Entity Name: THORNTON CHIROPRACTIC CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Nov 1994 (30 years ago)
Document Number: P94000086150
FEI/EIN Number 59-3279792
Address: 906 LITHIA PINECREST ROAD, BRANDON, FL 33511
Mail Address: 906 LITHIA PINECREST ROAD, BRANDON, FL 33511
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659505329 2009-05-11 2012-03-20 906 LITHIA PINECREST RD, BRANDON, FL, 335116121, US 906 LITHIA PINECREST RD, BRANDON, FL, 335116121, US

Contacts

Phone +1 813-685-7107
Fax 8136819693

Authorized person

Name DR. GLEN SCOTT THORNTON
Role PRESIDENT
Phone 8136857107

Taxonomy

Taxonomy Code 111NN1001X - Nutrition Chiropractor
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE PTAN
Number 22309
State FL
Issuer RAILROAD MEDICARE PTAN
Number 350035028
State FL

Agent

Name Role Address
THORNTON, GLEN SDR Agent 906 LITHIA PINECREST ROAD, BRANDON, FL 33511

President

Name Role Address
THORNTON, DR. GLEN S President 906 LITHIA PINECREST RD, BRANDON, FL 33511

Documents

Name Date
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-03-21
ANNUAL REPORT 2021-02-23
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-02-17
ANNUAL REPORT 2018-01-28
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-01-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State