SPACE COAST CHIROPRACTIC INC
Chiropractic at Wickham Rd, Melbourne, FL

License number
Florida CH8196
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. KIMMIE L COLEY DC
Title: CHIROPRACTOR
Phone: (321) 729-9000
Address
Address
1070 S Wickham Rd, Melbourne, FL 32904
National Provider ID: 1013033927
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SPACE COAST CHIROPRACTIC, INC

1070 S Wickham Rd, Melbourne, FL 32904

Status:
Inactive
Doing business as:
Space Coast Chiropractic
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Apr 9, 2001
Inactive since:
Sep 23, 2011
State ID:
P01000035869
Business type:
Florida Profit Corporation
Treasurer, President, Vice Presidents:
Kimmie L. Coley (Chiropractor),Richard Stork Principal, President, inactive, 4170 Carolwood Dr, Melbourne, FL 32934 (Physical),Jody A Stork Treasurer, President, Vice President, inactive, 4170 Carolwood Dr, Melbourne, FL 32934 (Physical)
EIN:
59-3730923

SPACE COAST CHIROPRACTIC, INC

800 E Melbourne Ave, Melbourne, FL 32901

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Nov 18, 1991
Inactive since:
Oct 9, 1992
State ID:
S95222
Business type:
Florida Profit Corporation
Treasurer, Director, Vice Presidents:
John Roberts President, Secretary, Director, inactive, 800 E Melbourne Ave, Melbourne, FL (Physical),Ronald Gold Treasurer, Director, Vice President, inactive, 800 E Melbourne Ave, Melbourne, FL (Physical)
Agent:
Roberts, John,800 E Melbourne Ave, Melbourne, FL 32901 (Physical)
EIN:
00-0000000

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