| Entity Name: | CROSSWINDS PHYSICIAN SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Jun 1997 (28 years ago) |
| Document Number: | P97000057661 |
| FEI/EIN Number | 59-3461111 |
| Address: | 1224 - 66th Street North, ST. PETERSBURG, FL 33710 |
| Mail Address: | 1224 - 66th Street North, ST. PETERSBURG, FL 33710 |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205252343 | 2014-03-13 | 2021-01-28 | 1224 66TH ST NORTH, ST PETERSBURG, FL, 33710, US | 1224 66TH ST NORTH, ST PETERSBURG, FL, 33710, US | |||||||||||||||||||
|
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| Phone | +1 727-347-3400 |
| Fax | 7273470502 |
Authorized person
| Name | FRED S FREED |
| Role | OWNER/PHYSICIAN |
| Phone | 7273473400 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH5113 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FREED, FREDERICK S | Agent | 1224 - 66th Street North, SAINT PETERSBURG, FL 33710 |
| Name | Role | Address |
|---|---|---|
| FREED, FREDERICK S | President | 1224 - 66th Street North, ST. PETERSBURG, FL 33710 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-24 | 1224 - 66th Street North, ST. PETERSBURG, FL 33710 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-24 | 1224 - 66th Street North, ST. PETERSBURG, FL 33710 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-24 | 1224 - 66th Street North, SAINT PETERSBURG, FL 33710 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-13 | FREED, FREDERICK S | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-06-10 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-04-16 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
