| Entity Name: | TIDEWATER FOOT & ANKLE ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Jan 2018 (7 years ago) |
| Document Number: | P18000005542 |
| FEI/EIN Number | 82-4093809 |
| Address: | 4168 Woodlands Pkwy, SUITE B, PALM HARBOR, FL 34685 |
| Mail Address: | 4168 Woodlands Pkwy, SUITE B, PALM HARBOR, FL 34685 |
| ZIP code: | 34685 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033837992 | 2022-08-17 | 2022-08-17 | 13019 W LINEBAUGH AVE STE 101, TAMPA, FL, 336264507, US | 4168 WOODLANDS PKWY STE B, PALM HARBOR, FL, 346853496, US | |||||||||||||||
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| Phone | +1 813-925-9431 |
| Fax | 8139259442 |
Authorized person
| Name | MEGAN BROOK JOHNSON |
| Role | OWNER |
| Phone | 8139259431 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LYONS, GARY W | Agent | 311 SOUTH MISSOURI AVENUE, CLEARWATER, FL 33756 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, MEGAN B | President | 4168 Woodlands Pkwy, SUITE B PALM HARBOR, FL 34685 |
| Name | Role | Address |
|---|---|---|
| Johnson, Kyle | Secretary | 4168 Woodlands Pkwy, SUITE B PALM HARBOR, FL 34685 |
| Name | Role | Address |
|---|---|---|
| Johnson, Kyle | Treasurer | 4168 Woodlands Pkwy, SUITE B PALM HARBOR, FL 34685 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-19 | 4168 Woodlands Pkwy, SUITE B, PALM HARBOR, FL 34685 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-19 | 4168 Woodlands Pkwy, SUITE B, PALM HARBOR, FL 34685 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-19 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-04-22 |
| ANNUAL REPORT | 2019-04-17 |
| Domestic Profit | 2018-01-18 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
