| Entity Name: | CHANGING TIDES CHIROPRACTIC & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Aug 2018 (6 years ago) |
| Document Number: | L18000202934 |
| FEI/EIN Number | 83-2842971 |
| Address: | 1750 A1A S. STE B, ST. AUGUSTINE, FL 32080 |
| Mail Address: | 1750 A1A S. STE B, ST. AUGUSTINE, FL 32080 |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184279382 | 2019-08-05 | 2019-08-05 | 1000 PLANTATION ISLAND DR S STE 9, SAINT AUGUSTINE, FL, 320803106, US | 1000 PLANTATION ISLAND DR S STE 9, SAINT AUGUSTINE, FL, 320803106, US | |||||||||||||||||||||
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| Phone | +1 904-217-0715 |
| Fax | 9042170746 |
Authorized person
| Name | ELIANA MELENDEZ-SANTIAGO |
| Role | OWNER/DOCTOR |
| Phone | 9042170715 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPPES |
| Number | 1699252205 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MELENDEZ-SANTIAGO, ELIANA M | Agent | 1000 PLANTATION ISLAND DR SOUTH, SUITE 9, ST. AUGUSTINE, FL 32080 |
| Name | Role | Address |
|---|---|---|
| MELENDEZ-SANTIAGO, ELIANA M | Authorized Member | 1000 PLANTATION ISLAND DRIVE, SUITE 9 ST. AUGUSTINE, FL 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-06 | 1750 A1A S. STE B, ST. AUGUSTINE, FL 32080 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-06 | 1750 A1A S. STE B, ST. AUGUSTINE, FL 32080 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-05 | 1000 PLANTATION ISLAND DR SOUTH, SUITE 9, ST. AUGUSTINE, FL 32080 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-04-06 |
| CORLCMMRES | 2018-11-05 |
| Florida Limited Liability | 2018-08-24 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
