| Entity Name: | BAYBRIDGE CHIROPRACTIC CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Aug 1991 (33 years ago) |
| Document Number: | S71907 |
| FEI/EIN Number | 593075800 |
| Address: | 107 BAYBRIDGE DRIVE, GULF BREEZE, FL, 32561 |
| Mail Address: | 110 SAN CARLOS AVENUE, GULF BREEZE, FL, 32561, US |
| ZIP code: | 32561 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538437272 | 2011-12-08 | 2011-12-08 | 107 BAYBRIDGE DR, GULF BREEZE, FL, 325614470, US | 107 BAY BRIDGE DR, GULF BREEZE, FL, 325617428, US | |||||||||||||||||||
|
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| Phone | +1 850-932-1778 |
| Fax | 8509344770 |
Authorized person
| Name | DR. KENNETH LEAMON WILLIAM |
| Role | DIRECTOR |
| Phone | 8509321778 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH00005184 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, KENNETH L. | Agent | 110 SAN CARLOS AVENUE, GULF BREEZE, FL, 32561 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS CONNIE S | Vice President | 107 BAYBRIDGE DR, GULF BREEZE, FL |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, KENNETH L. | Director | 110 SAN CARLOS AVENUE, GULF BREEZE, FL, 32561 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000002509 | INSTITUTE FOR PRANIC HEALING | EXPIRED | 2010-01-08 | 2015-12-31 | No data | 107 BAYBRIDGE DRIVE, GULF BREEZE, FL, 32561 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
