| Entity Name: | STEVEN D. FEINZIG, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Apr 1997 (28 years ago) |
| Document Number: | P97000030957 |
| FEI/EIN Number | 650741719 |
| Address: | 29 Lumen Ct, ST Augustine, FL, 32095, US |
| Mail Address: | 29 Lumen Ct, St Augustine, FL, 32095, US |
| ZIP code: | 32095 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598183949 | 2014-04-02 | 2014-04-02 | 2120 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330206701, US | 2120 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330206701, US | |||||||||||||||||||||||
|
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| Phone | +1 954-925-5000 |
Authorized person
| Name | MR. STEVEN DAVID FEINZIG |
| Role | OWNER |
| Phone | 9549255000 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0007110 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381137900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FEINZIG STEVEN D | Agent | 29 Lumen Ct, St Augustine, FL, 32095 |
| Name | Role | Address |
|---|---|---|
| FEINZIG STEVEN D | President | 29 Lumen Ct, St Augustine, FL, 32095 |
| Name | Role | Address |
|---|---|---|
| FEINZIG STEVEN D | Secretary | 29 Lumen Ct, St Augustine, FL, 32095 |
| Feinzig Darlene | Secretary | 29 Lumen Ct, St Augustine, FL, 32095 |
| Name | Role | Address |
|---|---|---|
| FEINZIG STEVEN D | Treasurer | 29 Lumen Ct, St Augustine, FL, 32095 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-16 | 29 Lumen Ct, ST Augustine, FL 32095 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-16 | 29 Lumen Ct, ST Augustine, FL 32095 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-16 | 29 Lumen Ct, St Augustine, FL 32095 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
