| Entity Name: | ST. CLOUD CHIROPRACTIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Jun 1996 (29 years ago) |
| Document Number: | P96000055022 |
| FEI/EIN Number | 59-3387507 |
| Address: | 1106B TENTH ST., SUITE B, ST. CLOUD, FL 34769 |
| Mail Address: | P. O. BOX 701757, ST. CLOUD, FL 34770 |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912171943 | 2008-04-22 | 2011-01-24 | PO BOX 701757, SAINT CLOUD, FL, 347701757, US | 1106 10TH ST, SUITE B, SAINT CLOUD, FL, 347693332, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-892-5008 |
| Fax | 4078925028 |
Authorized person
| Name | DR. JOHN FRANCIS CULLINANE |
| Role | PRESIDENT |
| Phone | 4078925008 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH6290 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 22605 |
| State | FL |
| Issuer | MEDICAID |
| Number | 052561800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CULLINANE, JOHN FDC | Agent | 1106 C 10th Street, ST. CLOUD, FL 34769 |
| Name | Role | Address |
|---|---|---|
| CULLINANE, JOHN FDC | President | 1106 C TENTH STREET, ST. CLOUD, FL 34769 |
| Name | Role | Address |
|---|---|---|
| CULLINANE, JOHN FDC | Vice President | 1106 C TENTH STREET, SAINT CLOUD, FL 34769 |
| Name | Role | Address |
|---|---|---|
| CULLINANE, JOHN FDC | Secretary | 1106 C TENTH STREET, SAINT CLOUD, FL 34769 |
| Name | Role | Address |
|---|---|---|
| CULLINANE, JOHN FDC | Treasurer | 1106 C TENTH STREET, SAINT CLOUD, FL 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-06 | 1106 C 10th Street, ST. CLOUD, FL 34769 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-28 | CULLINANE, JOHN FDC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-09 | 1106B TENTH ST., SUITE B, ST. CLOUD, FL 34769 | No data |
| CHANGE OF MAILING ADDRESS | 2005-01-21 | 1106B TENTH ST., SUITE B, ST. CLOUD, FL 34769 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-03-03 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
