Entity Name: | LEE CHIROPRACTIC CLINIC, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 22 Dec 1997 (27 years ago) |
Document Number: | P97000107738 |
FEI/EIN Number | 593483891 |
Address: | 1875-A S 14TH ST, FERNANDINA BEACH, FL, 32034, US |
Mail Address: | 1875-A S 14TH ST, FERNANDINA BEACH, FL, 32034, US |
ZIP code: | 32034 |
County: | Nassau |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1689755589 | 2006-10-18 | 2024-10-03 | 1875-A S 14TH ST, FERNANDINA BEACH, FL, 320343033, US | 1875-A SOUTH 14TH STREET, FERNANDINA BEACH, FL, 32034, US | |||||||||||||||
|
Phone | +1 904-261-1800 |
Fax | 9042611830 |
Authorized person
Name | MR. ELIZABETH ANNE HARRELSON-LEE |
Role | PRESIDENT |
Phone | 9042611800 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HARRELSON-LEE ELIZABETH A | Agent | 1875-A SOUTH 14TH STREET, FERNANDINA BEACH, FL, 32034 |
Name | Role | Address |
---|---|---|
LEE ELIZABETH | Director | 1875-A S. 14TH ST., FERNANDINA BEACH, FL, 32034 |
LEE JOSEPH M | Director | 1875-A S 14TH ST, FERNANDINA BEACH, FL, 32034 |
Name | Role | Address |
---|---|---|
LEE ELIZABETH | President | 1875-A S. 14TH ST., FERNANDINA BEACH, FL, 32034 |
Name | Role | Address |
---|---|---|
LEE ELIZABETH | Secretary | 1875-A S. 14TH ST., FERNANDINA BEACH, FL, 32034 |
Name | Role | Address |
---|---|---|
LEE JOSEPH M | Vice President | 1875-A S 14TH ST, FERNANDINA BEACH, FL, 32034 |
Name | Role | Address |
---|---|---|
LEE JOSEPH M | Treasurer | 1875-A S 14TH ST, FERNANDINA BEACH, FL, 32034 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State