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LEE CHIROPRACTIC CLINIC, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
HARRELSON-LEE ELIZABETH A Agent 1875-A SOUTH 14TH STREET, FERNANDINA BEACH, FL, 32034

Director

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

President

Name Role Address
LEE ELIZABETH President 1875-A S. 14TH ST., FERNANDINA BEACH, FL, 32034

Secretary

Name Role Address
LEE ELIZABETH Secretary 1875-A S. 14TH ST., FERNANDINA BEACH, FL, 32034

Vice President

Name Role Address
LEE JOSEPH M Vice President 1875-A S 14TH ST, FERNANDINA BEACH, FL, 32034

Treasurer

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