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OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - ST. JOES, LLC

Company Details

Entity Name: OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - ST. JOES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Aug 2010 (14 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 09 Mar 2015 (10 years ago)
Document Number: L10000083343
FEI/EIN Number 273212521
Mail Address: 14004 Roosevelt Blvd, Suite 613, Clearwater, FL, 33762, US
Address: 2700 DR. MARTIN LUTHUR KING JR. BLVD., SUITE 300, TAMPA, FL, 33607, US
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174831523 2010-09-20 2010-10-24 6023 HAMMOCK WOODS DR, ODESSA, FL, 335563330, US 2700 W DR MARTIN LUTHER KING JR BLVD, SUITE 300, TAMPA, FL, 336076386, US

Contacts

Phone +1 813-690-4414
Phone +1 813-805-8108

Authorized person

Name MRS. BETH ANN PATTERSON
Role SECRETARY
Phone 8136904414

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
TANGEN MICHAEL Agent 2700 DR. MARTIN LUTHUR KING JR. BLVD., TAMPA, FL, 33607

Manager

Name Role Address
TANGEN MICHAEL Manager 2700 DR MARTIN LUTHER KING JR BLVD, STE300, TAMPA, FL, 33607

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-10-16 2700 DR. MARTIN LUTHUR KING JR. BLVD., SUITE 300, TAMPA, FL 33607 No data
LC AMENDMENT 2015-03-09 No data No data
REGISTERED AGENT NAME CHANGED 2015-03-09 TANGEN, MICHAEL No data
REGISTERED AGENT ADDRESS CHANGED 2015-03-09 2700 DR. MARTIN LUTHUR KING JR. BLVD., SUITE 300, TAMPA, FL 33607 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-20
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-01-26
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-23
LC Amendment 2015-03-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State