| Entity Name: | DR. CARINE CHERY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Sep 1999 (25 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Jul 2003 (22 years ago) |
| Document Number: | P99000087340 |
| FEI/EIN Number | 65-0961371 |
| Address: | 1900 CRYSTAL DRIVE, 1, FORT MYERS, FL 33907 |
| Mail Address: | 1900 CRYSTAL DRIVE, 1, FORT MYERS, FL 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932386067 | 2008-01-31 | 2016-11-30 | 1900 CRYSTAL DR, SUITE 1, FORT MYERS, FL, 339074105, US | 1900 CRYSTAL DR, SUITE 1, FORT MYERS, FL, 339077707, US | |||||||||||||||||||||||||||||||
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| Phone | +1 239-936-6566 |
| Fax | 2399366442 |
Authorized person
| Name | DR. CARINE CHERY |
| Role | PRESIDENT |
| Phone | 2399366566 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7518 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS & BLUE SHIELD |
| Number | 55782 |
| State | FL |
| Issuer | MEDICAID |
| Number | 382055600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MINER, BOBBIE S | Agent | 1207 S.W. 19TH LANE, CAPE CORAL, FL 33991 |
| Name | Role | Address |
|---|---|---|
| chery, carine DR. | President | 1900 crystal drive suite 1, fort myers, FL 33907 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS III, Mark c | Vice President | 1900 crystal drive suite 1, fort myers, FL 33907 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000065178 | CHERY CHIROPRACTIC CENTER | EXPIRED | 2019-06-06 | 2024-12-31 | No data | 1900 CRYSTAL DRIVE SUITE 1, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-02 | 1900 CRYSTAL DRIVE, 1, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-02 | 1900 CRYSTAL DRIVE, 1, FORT MYERS, FL 33907 | No data |
| REINSTATEMENT | 2003-07-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2003-07-02 | MINER, BOBBIE S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-07-02 | 1207 S.W. 19TH LANE, CAPE CORAL, FL 33991 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-05-22 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-03-23 |
| ANNUAL REPORT | 2015-03-31 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8839697407 | 2020-05-19 | 0455 | PPP | 1900 CRYSTAL DR SUITE 1, FORT MYERS, FL, 33907-4102 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
