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WANDA I. NIEVES-MORENO, DC, LLC

Company Details

Entity Name: WANDA I. NIEVES-MORENO, DC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Sep 2010 (14 years ago)
Document Number: L10000101788
FEI/EIN Number 273565634
Address: 654 E. BLOOMINGDALE AVE, BRANDON, FL, 33511, US
Mail Address: 654 E. Bloomingdale Ave., BRANDON, FL, 33511, US
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639463516 2011-06-08 2011-06-08 654 E BLOOMINGDALE AVE, BRANDON, FL, 335118111, US 654 E BLOOMINGDALE AVE, BRANDON, FL, 335118111, US

Contacts

Phone +1 813-685-5200
Fax 8136548758

Authorized person

Name DR. WANDA I. NIEVES-MORENO
Role MANAGING MEMBER
Phone 8136855200

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH8811
State FL
Is Primary Yes

Agent

Name Role Address
NIEVES-MORENO WANDA I Agent 654 E. BLOOMINGDALE AVE, BRANDON, FL, 33511

Managing Member

Name Role Address
NIEVES-MORENO WANDA I Managing Member 654 E. BLOOMINGDALE AVE, BRANDON, FL, 33511

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000037204 BRANDON CHIROPRACTIC AND MASSAGE ACTIVE 2023-03-21 2028-12-31 No data 654 EAST BLOOMINGDALE AVENUE, BRANDON, FL, 33511
G17000026690 BRANDON CHIROPRACTIC AND MASSAGE EXPIRED 2017-03-13 2022-12-31 No data 654 E. BLOOMINGDALE AVE, BRANDON, FL, 33511
G11000016175 BRANDON CHIROPRACTIC AND MASSAGE EXPIRED 2011-02-11 2016-12-31 No data P.O. BOX 6757, BRANDON, FL, 33508

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2013-04-16 654 E. BLOOMINGDALE AVE, BRANDON, FL 33511 No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-19 654 E. BLOOMINGDALE AVE, BRANDON, FL 33511 No data
CHANGE OF PRINCIPAL ADDRESS 2011-02-23 654 E. BLOOMINGDALE AVE, BRANDON, FL 33511 No data

Documents

Name Date
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-04-05
ANNUAL REPORT 2020-04-14
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-05
ANNUAL REPORT 2015-04-02

Date of last update: 03 Feb 2025

Sources: Florida Department of State