| Entity Name: | WILLIAM V. ADRAGNA, D.C.,C.C.S.P., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Jan 1995 (30 years ago) |
| Document Number: | P95000007046 |
| FEI/EIN Number | 650553817 |
| Address: | 3107 SHERWOOD BLVD, DELRAY BEACH, FL, 33445, US |
| Mail Address: | 3107 SHERWOOD BLVD, DELRAY BEACH, FL, 33445, US |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316283484 | 2012-12-18 | 2012-12-18 | 13550 JOG RD, SUITE 203, DELRAY BEACH, FL, 334463809, US | 13550 JOG RD, SUITE 203, DELRAY BEACH, FL, 334463808, US | |||||||||||||||||||||||||
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| Phone | +1 561-819-6281 |
| Fax | 5618196278 |
Authorized person
| Name | MR. WILLIAM V. ADRAGNA |
| Role | PRESIDENT |
| Phone | 5618196281 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH6104 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 380383000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ADRAGNA WILLIAM V | Agent | 3107 SHERWOOD BLVD, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| ADRAGNA WILLIAM V | Treasurer | 13550 JOG ROAD, SUITE 203, DELRAY BEACH, FL, 33446 |
| Name | Role | Address |
|---|---|---|
| ADRAGNA WILLIAM V | Director | 13550 JOG ROAD, SUITE 203, DELRAY BEACH, FL, 33446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 3107 SHERWOOD BLVD, DELRAY BEACH, FL 33445 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-29 | 3107 SHERWOOD BLVD, DELRAY BEACH, FL 33445 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 3107 SHERWOOD BLVD, DELRAY BEACH, FL 33445 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-04-27 | ADRAGNA, WILLIAM VTD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-03-27 |
| ANNUAL REPORT | 2019-03-16 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-03-12 |
| ANNUAL REPORT | 2015-03-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
