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DAVENPORT CHIROPRACTIC, P.A.

Company Details

Entity Name: DAVENPORT CHIROPRACTIC, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 05 May 1995 (30 years ago)
Document Number: P95000036426
FEI/EIN Number 59-3357492
Address: 730 Beach Blvd, Suite 101, JACKSONVILLE BEACH, FL 32250
Mail Address: 730 Beach Blvd, Suite 101, JACKSONVILLE BEACH, FL 32250
ZIP code: 32250
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922263052 2008-07-29 2008-07-29 2710 3RD ST S, JACKSONVILLE BEACH, FL, 322506028, US 2710 3RD ST S, JACKSONVILLE BEACH, FL, 322506028, US

Contacts

Phone +1 904-246-1512
Fax 9042468105

Authorized person

Name MRS. JULIE HARDIN DAVENPORT
Role OFFICE MANAGER
Phone 9042461512

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH6642
State FL
Is Primary Yes

Agent

Name Role Address
Glennon, Austin T, Dr. Agent 730 Beach Blvd, Suite 101, JACKSONVILLE BEACH, FL 32250

Director

Name Role Address
Glennon, Austin T, Dr. Director 730 Beach Blvd, Suite 101 JACKSONVILLE BEACH, FL 32250

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000090440 PATH CHIROPRACTIC & WELLNESS ACTIVE 2024-07-19 2029-12-31 No data 730 BEACH BLVD, SUITE 101, JACKSONVILLE BEACH, FL, 32250
G15000023671 MAXIMIZED LIVING JACKSONVILLE BEACH EXPIRED 2015-03-05 2020-12-31 No data 2710 3RD STREET SOUTH, JACKSONVILLE BEACH, FL, 32250

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2017-03-20 730 Beach Blvd, Suite 101, JACKSONVILLE BEACH, FL 32250 No data
CHANGE OF PRINCIPAL ADDRESS 2016-03-28 730 Beach Blvd, Suite 101, JACKSONVILLE BEACH, FL 32250 No data
CHANGE OF MAILING ADDRESS 2016-03-28 730 Beach Blvd, Suite 101, JACKSONVILLE BEACH, FL 32250 No data
REGISTERED AGENT NAME CHANGED 2015-03-05 Glennon, Austin T, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-03-05

Date of last update: 02 Feb 2025

Sources: Florida Department of State