| Entity Name: | JOHNSTON CHIROPRACTIC HEALTH CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Dec 1991 (33 years ago) |
| Document Number: | V02574 |
| FEI/EIN Number | 593097785 |
| Address: | 3311 NW 18 Ave,, GAINESVILLE, FL, 32605, US |
| Mail Address: | 3311 NW 18 Ave., GAINESVILLE, FL, 32605, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558469742 | 2006-09-20 | 2013-05-03 | 1405 NW 13TH ST, GAINESVILLE, FL, 326014058, US | 1405 NW 13TH ST, GAINESVILLE, FL, 326014058, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-373-5510 |
| Fax | 3523737052 |
Authorized person
| Name | DR. JOHN J JOHNSTON |
| Role | PRESIDENT |
| Phone | 3523735510 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0004010 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 88906 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSTON, PATRICIA G. | Agent | 3311 NW 18 Ave,, GAINESVILLE, FL, 32605 |
| Name | Role | Address |
|---|---|---|
| JOHNSTON JOHN | President | 3311 NW 18 Ave., GAINESVILLE, FL, 32605 |
| Name | Role | Address |
|---|---|---|
| JOHNSTON PATRICIA | Treasurer | 3311 NW 18 Ave., GAINESVILLE, FL, 32605 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
