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PEAK PERFORMANCE REHABILITATION LLC

Company Details

Entity Name: PEAK PERFORMANCE REHABILITATION LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 14 Jun 2010 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 09 Nov 2018 (6 years ago)
Document Number: L10000064705
FEI/EIN Number 30-0633963
Address: 777 se 20th st, suite 200, FT. LAUDERDALE, FL 33316
Mail Address: 777 se 20th st, suite 200, FT. LAUDERDALE, FL 33316
ZIP code: 33316
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356660690 2010-05-26 2024-03-25 632 N FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33304, US 777 SE 20TH ST STE 200, FORT LAUDERDALE, FL, 333163589, US

Contacts

Phone +1 954-929-3006
Fax 9549292001
Phone +1 954-302-7717
Fax 7542162749

Authorized person

Name MATTHEW COOPER
Role OWNER
Phone 9543027717

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
Mills, Kevin C Agent 7901 Hispanola Ave., Unit 903, North Bay Village, FL 33141

Manager

Name Role Address
Mills, Kevin C Manager 7901 Hispanola Ave., Unit 903 North Bay Village, FL 33141
Cooper, Matthew Manager 404 Washington Ave. Suite 120, Miami Beach, FL 33139

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000074363 USA SPORTS MEDICINE BROWARD ACTIVE 2022-06-20 2027-12-31 No data 777 SE 20TH ST, SUITE 200, FT. LAUDERDALE, FL, 33316

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-05-24 Mills, Kevin C No data
REGISTERED AGENT ADDRESS CHANGED 2022-05-24 7901 Hispanola Ave., Unit 903, North Bay Village, FL 33141 No data
CHANGE OF PRINCIPAL ADDRESS 2021-06-04 777 se 20th st, suite 200, FT. LAUDERDALE, FL 33316 No data
CHANGE OF MAILING ADDRESS 2021-06-04 777 se 20th st, suite 200, FT. LAUDERDALE, FL 33316 No data
LC AMENDMENT 2018-11-09 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-03-23
AMENDED ANNUAL REPORT 2022-05-24
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-05-03
ANNUAL REPORT 2020-07-09
ANNUAL REPORT 2019-04-29
LC Amendment 2018-11-09
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-02-02

Date of last update: 25 Jan 2025

Sources: Florida Department of State