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GLENN V. QUINTANA, D.C., P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
QUINTANA VIRGINIA M Agent 9406 S DIXIE HWY., MIAMI, FL, 33156

President

Name Role Address
QUINTANA GLENN V President 8955 SW 87 COURT,, MIAMI, FL, 33176

Director

Name Role Address
QUINTANA VIRGINIA M Director 8955 SW 87 COURT,, MIAMI, FL, 33176

Fictitious Names

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

Events

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