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COASTAL HEALTH AND WELLNESS JAX, LLC

Company Details

Entity Name: COASTAL HEALTH AND WELLNESS JAX, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Sep 2018 (6 years ago)
Document Number: L18000231153
FEI/EIN Number 83-2098096
Address: 440 Third St., Ste A, Neptune Beach Florida, FL, 32266, US
Mail Address: 440 Third St., Ste A, Neptune Beach Florida, FL, 32266, US
ZIP code: 32266
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215701826 2023-11-14 2023-11-14 440 3RD ST STE A, NEPTUNE BEACH, FL, 322665146, US 440 THIRD ST., SUITE A, NEPTUNE BEACH FLORIDA, FL, 32266, US

Contacts

Phone +1 904-249-5999
Fax 9042491768

Authorized person

Name DR. SUSAN SHEPLER
Role OWNER/CHIROPRACTOR
Phone 9042495999

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
SHEPLER SUSAN Agent 1911 SPOONBILL ST, JACKSONVILLE, FL, 32224

Authorized Member

Name Role Address
SHEPLER SUSAN Authorized Member 1911 SPOONBILL ST, JACKSONVILLE, FL, 32224

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-26 440 Third St., Ste A, Neptune Beach Florida, FL 32266 No data
CHANGE OF MAILING ADDRESS 2024-04-26 440 Third St., Ste A, Neptune Beach Florida, FL 32266 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-26 1911 SPOONBILL ST, JACKSONVILLE, FL 32224 No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-03-26
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-05-05
ANNUAL REPORT 2019-04-26
Florida Limited Liability 2018-09-28

Date of last update: 01 Feb 2025

Sources: Florida Department of State