| Entity Name: | ATLANTIS CHIROPRACTIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Jun 1997 (28 years ago) |
| Document Number: | P97000052888 |
| FEI/EIN Number | 593453608 |
| Address: | 2194 HWY AIA, #308, INDIAN HARBOR BEACH, FL, 32937, US |
| Mail Address: | 2194 HWY AIA, #308, INDIAN HARBOR BEACH, FL, 32937, US |
| ZIP code: | 32937 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083799241 | 2006-10-26 | 2008-03-21 | 2194 HIGHWAY A1A STE 308, INDIAN HARBOUR BEACH, FL, 329374932, US | 2194 HIGHWAY A1A STE 308, INDIAN HARBOUR BEACH, FL, 329374932, US | |||||||||||||||||||||||
|
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| Phone | +1 321-777-1420 |
Authorized person
| Name | DR. DAVID SANDERS |
| Role | PRES ATLANTIS CHIROPRACTIC, INC. |
| Phone | 3217771420 |
Taxonomy
| Taxonomy Code | 111NN0400X - Neurology Chiropractor |
| License Number | CH7177 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 55574 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANDERS DAVID R | Agent | 2194 HWY AIA, INDIAN HARBOR BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| SANDERS DAVID R | President | 2194 HWY AIA, #308, INDIAN HARBOR BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| SANDERS DAVID R | Secretary | 2194 HWY AIA, #308, INDIAN HARBOR BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| SANDERS TEENA Y | Vice President | 2194 HWY AIA, #308, INDIAN HARBOR BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| SANDERS TEENA Y | Treasurer | 2194 HWY AIA, #308, INDIAN HARBOR BEACH, FL, 32937 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000023712 | ATLANTIS BRAIN & CHIROPRACTIC CENTER | ACTIVE | 2017-03-06 | 2027-12-31 | No data | 2194 HWY. A1A SUITE 308, SUITE 308, INDIAN HARBOUR BEACH, FL, 32937 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2010-02-24 | 2194 HWY AIA, #308, INDIAN HARBOR BEACH, FL 32937 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-06-16 | 2194 HWY AIA, #308, INDIAN HARBOR BEACH, FL 32937 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1998-02-27 | 2194 HWY AIA, #308, INDIAN HARBOR BEACH, FL 32937 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-07 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-02-27 |
| ANNUAL REPORT | 2016-01-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
