| Entity Name: | DEERFIELD BOCA CHIROPRACTIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Apr 1999 (26 years ago) |
| Document Number: | P99000035538 |
| FEI/EIN Number | 650915149 |
| Address: | 36 N.E. 2ND AVE., DEERFIELD BEACH, FL, 33441 |
| Mail Address: | 36 N.E. 2ND AVE., DEERFIELD BEACH, FL, 33441 |
| ZIP code: | 33441 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750459087 | 2006-12-04 | 2010-07-15 | 36 NE 2ND AVENUE, DEERFIELD BEECH, FL, 33441, US | 36 NE 2ND AVENUE, DEERFIELD BEECH, FL, 33441, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-428-7500 |
| Fax | 9544287502 |
Authorized person
| Name | BRUCE HAL KIRSCHENBERG |
| Role | OWNER PRESIDENT |
| Phone | 9544287500 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH4463 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 050667200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KIRSCHENBERG BRUCE | Agent | 36 N.E. 2ND AVE., DEERFIELD BEACH, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| KIRSCHENBERG BRUCE H | Director | 610 TIVOLI TRACE CIRCLE #207, DEERFIELD BEACH, FL, 33441 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2001-04-11 | KIRSCHENBERG, BRUCE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-04-15 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-04-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
