Search icon

ADVANCED CHIROPRACTIC NUTRITION CENTER, P.A.

Company Details

Entity Name: ADVANCED CHIROPRACTIC NUTRITION CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Jul 1995 (30 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 06 Jun 2002 (23 years ago)
Document Number: P95000058309
FEI/EIN Number 593328684
Address: 440-A THIRD STREET, SUITE A, NEPTUNE BEACH, FL, 32266, US
Mail Address: 440-A THIRD STREET, SUITE A, NEPTUNE BEACH, FL, 32266, US
ZIP code: 32266
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629139159 2006-12-12 2008-06-16 440 3RD ST, SUITE A, NEPTUNE BEACH, FL, 322665111, US 440 3RD ST, SUITE A, NEPTUNE BEACH, FL, 322665111, US

Contacts

Phone +1 904-249-5999
Fax 9042491768

Authorized person

Name DR. THOMAS A. KISKA
Role PRESIDENT
Phone 9042495999

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number MM13448
State FL
Is Primary Yes

Agent

Name Role Address
SHEPLER SUSAN L Agent 440-A THIRD ST, NEPTUNE BEACH, FL, 32266

President

Name Role Address
SHEPLER SUSAN L President 440-A THIRD STREET, NEPTUNE BEACH, FL, 32266

Director

Name Role Address
SHEPLER SUSAN L Director 440-A THIRD STREET, NEPTUNE BEACH, FL, 32266
KISKA THOMAS A Director 440-A THIRD STREET, NEPTUNE BEACH, FL, 32266

Vice President

Name Role Address
KISKA THOMAS A Vice President 440-A THIRD STREET, NEPTUNE BEACH, FL, 32266

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2012-03-06 440-A THIRD STREET, SUITE A, NEPTUNE BEACH, FL 32266 No data
CHANGE OF PRINCIPAL ADDRESS 2011-09-16 440-A THIRD STREET, SUITE A, NEPTUNE BEACH, FL 32266 No data
REGISTERED AGENT NAME CHANGED 2011-09-16 SHEPLER, SUSAN L No data
REGISTERED AGENT ADDRESS CHANGED 2005-03-21 440-A THIRD ST, NEPTUNE BEACH, FL 32266 No data
NAME CHANGE AMENDMENT 2002-06-06 ADVANCED CHIROPRACTIC NUTRITION CENTER, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-03-26
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-05-05
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-03-03
ANNUAL REPORT 2015-03-19

Date of last update: 03 Feb 2025

Sources: Florida Department of State