| Entity Name: | SPECIFIC CARE CHIROPRACTIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Nov 1995 (29 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Sep 1996 (28 years ago) |
| Document Number: | P95000088956 |
| FEI/EIN Number | 650620894 |
| Address: | 3949 EVANS AVE - STE. 403, FT. MYERS, FL, 33901, US |
| Mail Address: | 3949 EVANS AVE - STE. 403, FT. MYERS, FL, 33901, US |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942321997 | 2007-04-03 | 2020-08-22 | 1169 HOMESTEAD RD N, LEHIGH ACRES, FL, 339366040, US | 1169 HOMESTEAD RD N, LEHIGH ACRES, FL, 339366040, US | |||||||||||||||||||||||||
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| Phone | +1 239-369-9109 |
| Fax | 2393694762 |
Authorized person
| Name | DR. JEFFREY MICHAEL PECK |
| Role | DOCTOR |
| Phone | 2393699109 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0006739 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 380583200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PECK JEFFREY M | Agent | 3949 EVANS AVE, FORT MYERS, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| PECK JEFFREY M | Director | 3949 EVANS AVE 403, FORT MYERS, FL, 33901 |
| MCKENZIE ASHLEY P | Director | 3949 EVANS AVE - STE. 403, FT. MYERS, FL, 33901 |
| PECK BRITTANY | Director | 3949 EVANS AVE - STE. 403, FT. MYERS, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| PECK JEFFREY M | President | 3949 EVANS AVE 403, FORT MYERS, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| PECK JEFFREY M | Secretary | 3949 EVANS AVE 403, FORT MYERS, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| PECK JEFFREY M | Treasurer | 3949 EVANS AVE 403, FORT MYERS, FL, 33901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-21 | 3949 EVANS AVE - STE. 403, FT. MYERS, FL 33901 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-21 | 3949 EVANS AVE - STE. 403, FT. MYERS, FL 33901 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-15 | 3949 EVANS AVE, 403, FORT MYERS, FL 33901 | No data |
| REINSTATEMENT | 1996-09-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| SPECIFIC CARE CHIROPRACTIC, A/A/O NICHOLAS MOUNTS VS STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY | 2D2021-2687 | 2021-08-30 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | NICHOLAS MOUNTS |
| Role | Appellant |
| Status | Active |
| Name | SPECIFIC CARE CHIROPRACTIC, INC. |
| Role | Appellant |
| Status | Active |
| Representations | JAMES E. MOON, ESQ. |
| Name | STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY |
| Role | Appellee |
| Status | Active |
| Representations | MICHAEL WALSH |
| Name | HONORABLE NICOLE LYNN MIRRA |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | LEE CLERK |
| Role | Lower Tribunal Clerk |
| Status | Active |
Docket Entries
| Docket Date | 2021-08-30 |
| Type | Misc. Events |
| Subtype | Fee Status |
| Description | HL:Fee Owed |
| Docket Date | 2021-08-30 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter 1 |
| Docket Date | 2021-08-30 |
| Type | Order |
| Subtype | Certificate of Service |
| Description | c of s; mailing addresses |
| Docket Date | 2021-09-22 |
| Type | Disposition |
| Subtype | Dismissed |
| Description | Dismissed - Order by Judge ~ KELLY, KHOUZAM, AND BLACK |
| Docket Date | 2021-09-22 |
| Type | Disposition by Order |
| Subtype | Dismissed |
| Description | dismiss/no fee/order of insolvency ~ This appeal is dismissed based on Appellant's failure to respond to August 30, 2021, order to show cause and failure to satisfy this court's August 30, 2021, fee order. |
| Docket Date | 2021-08-30 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | Notice of Appeal Filed ~ WITH ORDER |
| On Behalf Of | SPECIFIC CARE CHIROPRACTIC |
| Docket Date | 2021-10-08 |
| Type | Misc. Events |
| Subtype | Case Closed |
| Description | Case Closed |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| AMENDED ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-02-16 |
| ANNUAL REPORT | 2019-04-14 |
| ANNUAL REPORT | 2018-01-28 |
| ANNUAL REPORT | 2017-01-26 |
| ANNUAL REPORT | 2016-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
