| Entity Name: | COAST TO COAST MASSAGE THERAPY BY JEREMY MINNICK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Apr 2012 (13 years ago) |
| Document Number: | P12000033571 |
| FEI/EIN Number | 45-4914642 |
| Address: | 1631 NE 35th Lane, Cape Coral, FL, 33909, US |
| Mail Address: | 1631 NE 35TH LANE, CAPE CORAL, FL, 33909, US |
| ZIP code: | 33909 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356696934 | 2012-07-19 | 2012-07-19 | 2143 NW 17TH AVE, CAPE CORAL, FL, 339933101, US | 2143 NW 17TH AVE, CAPE CORAL, FL, 339933101, US | |||||||||||||||||||||||
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| Phone | +1 239-671-9900 |
Authorized person
| Name | MR. JEREMY A MINNICK |
| Role | PRESIDENT / OWNER |
| Phone | 2396719900 |
Taxonomy
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | MA25921 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | C3738 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Minnick Jeremy A | Agent | 1631 NE 35th Lane, CAPE CORAL, FL, 33909 |
| Name | Role | Address |
|---|---|---|
| MINNICK JEREMY | President | 1631 NE 35TH LANE, CAPE CORAL, FL, 33909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-13 | 1631 NE 35th Lane, Cape Coral, FL 33909 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-01 | 1631 NE 35th Lane, Cape Coral, FL 33909 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-01 | 1631 NE 35th Lane, CAPE CORAL, FL 33909 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-15 | Minnick, Jeremy A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-19 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-03-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
