| Entity Name: | LINDA D. BINDA, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 May 1996 (29 years ago) |
| Document Number: | P96000040495 |
| FEI/EIN Number | 593377532 |
| Address: | 1639 GEORGIA ST N.E., PALM BAY, FL, 32907, US |
| Mail Address: | 1639 GEORGIA ST N.E., PALM BAY, FL, 32907, US |
| ZIP code: | 32907 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205136405 | 2010-10-22 | 2010-10-22 | 1639 GEORGIA ST NE, PALM BAY, FL, 329072568, US | 1639 GEORGIA ST NE, PALM BAY, FL, 329072568, US | |||||||||||||||||||||||
|
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| Phone | +1 321-726-3917 |
| Fax | 3217299728 |
Authorized person
| Name | DR. LINDA D. BINDA |
| Role | CHIROPRACTOR/P, VP, SEC, TRES. |
| Phone | 3217263917 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381297900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BINDA KENNETH J | Agent | 1639 GEORGIA STREET, NE, PALM BAY, FL, 32907 |
| Name | Role | Address |
|---|---|---|
| BINDA LINDA D | President | 1639 GEORGIA ST. NE, PALM BAY, FL, 32907 |
| Name | Role | Address |
|---|---|---|
| BINDA LINDA D | Secretary | 1639 GEORGIA ST. NE, PALM BAY, FL, 32907 |
| Name | Role | Address |
|---|---|---|
| BINDA LINDA D | Treasurer | 1639 GEORGIA ST. NE, PALM BAY, FL, 32907 |
| Name | Role | Address |
|---|---|---|
| BINDA LINDA D | Director | 1639 GEORGIA ST. NE, PALM BAY, FL, 32907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-25 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
