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TIDELINE SPORTS PERFORMANCE & REHABILITATION LLC

Company Details

Entity Name: TIDELINE SPORTS PERFORMANCE & REHABILITATION LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 30 Sep 2020 (4 years ago)
Document Number: L20000308035
FEI/EIN Number 85-3259315
Address: 5320 Lena Rd, UNIT 114, Bradenton, FL 34211
Mail Address: 5320 Lena Rd, UNIT 114, Bradenton, FL 34211
ZIP code: 34211
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255930855 2020-10-23 2021-05-25 5320 LENA RD UNIT 114, BRADENTON, FL, 342119438, US 5320 LENA RD UNIT 114, BRADENTON, FL, 342119438, US

Contacts

Phone +1 513-460-8005

Authorized person

Name MICHAEL SCLAFANI
Role OWNER
Phone 9412180551

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
SCLAFANI, MICHAEL Agent 5320 Lena Rd, UNIT 114, Bradenton, FL 34211

Owner

Name Role Address
SCLAFANI, MICHAEL Owner 12922 Nightshade Place, LAKEWOOD RANCH, FL 34202

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-06 5320 Lena Rd, UNIT 114, Bradenton, FL 34211 No data
CHANGE OF PRINCIPAL ADDRESS 2021-05-26 5320 Lena Rd, UNIT 114, Bradenton, FL 34211 No data
CHANGE OF MAILING ADDRESS 2021-05-26 5320 Lena Rd, UNIT 114, Bradenton, FL 34211 No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-03-14
ANNUAL REPORT 2021-03-25
Florida Limited Liability 2020-09-30

Date of last update: 15 Jan 2025

Sources: Florida Department of State