| Entity Name: | CHIROPRACTIC IN THE PARK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 Mar 1997 (28 years ago) |
| Document Number: | P97000026342 |
| FEI/EIN Number | 59-3437877 |
| Address: | 8695 66TH STREET N, PINELLAS PARK, FL 33782 |
| Mail Address: | 8695 66TH STREET N, PINELLAS PARK, FL 33782 |
| ZIP code: | 33782 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932144631 | 2006-06-17 | 2012-02-09 | 8695 66TH ST, PINELLAS PARK, FL, 337824527, US | 8695 66TH ST, PINELLAS PARK, FL, 337824527, US | |||||||||||||||||||||||||
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| Phone | +1 727-547-8615 |
| Fax | 7275470918 |
Authorized person
| Name | DR. ANNA LOUISE LAURANCE |
| Role | OWNER |
| Phone | 7275478615 |
Taxonomy
| Taxonomy Code | 111NS0005X - Sports Physician Chiropractor |
| License Number | CH7061 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381162000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FOSTER, DAVID W | Agent | 555 4TH STREET NORTH, ST PETERSBURG, FL 33701 |
| Name | Role | Address |
|---|---|---|
| LAURANCE, ANNA L | Director | 8695-66TH ST N, PINELLAS PARK, FL 33782 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2009-04-16 | 8695 66TH STREET N, PINELLAS PARK, FL 33782 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-11 | 8695 66TH STREET N, PINELLAS PARK, FL 33782 | No data |
| REGISTERED AGENT NAME CHANGED | 1998-06-04 | FOSTER, DAVID W | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1998-06-04 | 555 4TH STREET NORTH, ST PETERSBURG, FL 33701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
