Entity Name: | GLENN V. QUINTANA, D.C., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 09 Jun 1992 (33 years ago) |
Document Number: | V42116 |
FEI/EIN Number | 650330091 |
Address: | 8955 SW 87 COURT,, MIAMI, FL, 33176, US |
Mail Address: | 8955 SW 87 COURT,, MIAMI, FL, 33176, US |
ZIP code: | 33176 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1447519061 | 2012-05-16 | 2012-05-16 | 9406 S DIXIE HWY, MIAMI, FL, 331562934, US | 9406 S DIXIE HWY, MIAMI, FL, 331562934, US | |||||||||||||||||||
|
Phone | +1 305-670-9313 |
Fax | 3056709313 |
Authorized person
Name | DR. GLENN VICENTE QUINTANA |
Role | PRESIDENT |
Phone | 3056709313 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH6296 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
QUINTANA VIRGINIA M | Agent | 9406 S DIXIE HWY., MIAMI, FL, 33156 |
Name | Role | Address |
---|---|---|
QUINTANA GLENN V | President | 8955 SW 87 COURT,, MIAMI, FL, 33176 |
Name | Role | Address |
---|---|---|
QUINTANA VIRGINIA M | Director | 8955 SW 87 COURT,, MIAMI, FL, 33176 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000034472 | QUINTANA CHIROPRACTIC CENTER | ACTIVE | 2024-03-07 | 2029-12-31 | No data | 709 EAST 9TH ST, HIALEAH, FL, 33010 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
NAME CHANGE AMENDMENT | 2007-05-09 | GLENN V. QUINTANA, D.C., P.A. | No data |
CANCEL ADM DISS/REV | 2006-02-03 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
REINSTATEMENT | 1996-10-21 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State