| Entity Name: | VALENTINE CHIROPRACTIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Sep 1991 (33 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Dec 2015 (9 years ago) |
| Document Number: | S82296 |
| FEI/EIN Number | 65-0343263 |
| Address: | 10001 W OAKLAND PARK BLVD SUITE 203, suite 203, SUNRISE, FL 33351 |
| Mail Address: | 10001WEST OAKLAND PARK BOULEVARD STE 203, SUITE 203, SUNRISE, FL 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891766473 | 2006-01-31 | 2015-01-06 | 10046 W OAKLAND PARK BLVD, SUNRISE, FL, 333516960, US | 10046 W OAKLAND PARK BLVD, SUNRISE, FL, 333516960, US | |||||||||||||||||||||||||
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| Phone | +1 954-749-8033 |
| Fax | 9547498589 |
Authorized person
| Name | DR. VERONICA VALENTINE |
| Role | PRESIDENT |
| Phone | 9547498033 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0006083 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381144100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Valentine, James P | Agent | 10001WEST OAKLAND PARK BOULEVARD STE 203, SUITE 203, SUNRISE, FL 33351 |
| Name | Role | Address |
|---|---|---|
| VALENTINE, JAMES P | President | 10001WEST OAKLAND PARK BOULEVARD STE 203, SUITE 203 SUNRISE, FL 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-01 | 10001 W OAKLAND PARK BLVD SUITE 203, suite 203, SUNRISE, FL 33351 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-01 | 10001 W OAKLAND PARK BLVD SUITE 203, suite 203, SUNRISE, FL 33351 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-01 | 10001WEST OAKLAND PARK BOULEVARD STE 203, SUITE 203, SUNRISE, FL 33351 | No data |
| AMENDMENT | 2015-12-28 | No data | No data |
| AMENDMENT | 2015-06-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-22 | Valentine, James P | No data |
| AMENDMENT | 2013-06-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-04-02 |
| AMENDED ANNUAL REPORT | 2017-09-21 |
| ANNUAL REPORT | 2017-01-20 |
| ANNUAL REPORT | 2016-02-19 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
