| Entity Name: | BIBCO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Oct 1990 (34 years ago) |
| Document Number: | S18591 |
| FEI/EIN Number | 593031445 |
| Address: | 1615 Raiford Rd, P.O. Box 1275, STARKE, FL, 32091, US |
| Mail Address: | PO BOX 1275, STARKE, FL, 32091, US |
| ZIP code: | 32091 |
| County: | Bradford |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134209919 | 2006-10-16 | 2011-06-28 | 601 E CALL ST, STARKE, FL, 32091, US | 601 E CALL ST, STARKE, FL, 32091, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 904-964-8018 |
| Fax | 9049649131 |
Authorized person
| Name | VIRGIL A BERRY JR. |
| Role | OWNER |
| Phone | 9049648018 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH5217 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 70979 |
| State | FL |
| Issuer | MEDICAID |
| Number | 050750400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BERRY VIRGIL A | Agent | 1615 Raiford Road, STARKE, FL, 32091 |
| Name | Role | Address |
|---|---|---|
| BERRY V.A. | President | 1615 Raiford Road, STARKE, FL, 32091 |
| Name | Role | Address |
|---|---|---|
| BERRY V.A. | Director | 1615 Raiford Road, STARKE, FL, 32091 |
| BERRY VALISA A | Director | 3206 Alligator Lane, COLUMBIA, MO, 65202 |
| BERRY V. AUSTIN | Director | 3500 RT M, ASHLAND, MO, 65010 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000006129 | BACK & NECK PAIN CLINIC | EXPIRED | 2016-01-15 | 2021-12-31 | No data | 601 EAST CALL STREET, P. O. BOX 1275, STARKE, FL, 32091 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2010-09-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REINSTATEMENT | 1994-11-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | No data | No data |
| REINSTATEMENT | 1993-12-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1993-08-13 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
