| Entity Name: | IPERFORMANCE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Aug 2014 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 12 Sep 2016 (8 years ago) |
| Document Number: | L14000138931 |
| FEI/EIN Number | 47-1763066 |
| Address: | 200 CALUSA BOULEVARD, SUITE 300, DESTIN, FL, 32541, US |
| Mail Address: | 200 CALUSA BOULEVARD, SUITE 300, DESTIN, FL, 32541, US |
| ZIP code: | 32541 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871991240 | 2014-12-16 | 2017-10-09 | 200 CALUSA BLVD, SUITE 300, DESTIN, FL, 325415753, US | 200 CALUSA BLVD, SUITE 300, DESTIN, FL, 325415753, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-460-2024 |
| Fax | 8504607987 |
Authorized person
| Name | APRIL M MARGAGLIANO |
| Role | OFFICE MANAGER |
| Phone | 8504602024 |
Taxonomy
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OPTUM HEALTH/UNITEDHEALTHCARE INDIVIDUAL |
| Number | 735439 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Y91AW |
| State | FL |
| Issuer | CIGNA |
| Number | 6923846 |
| State | FL |
| Issuer | OPTUM HEALTH/UNITEDHEALTHCARE GROUP |
| Number | 14370 |
| State | FL |
| Issuer | TRICARE |
| Number | 1871991240 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RUSIN SCOTT T | Agent | 200 CALUSA BOULEVARD, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| RUSIN SCOTT T | Manager | 200 CALUSA BLVD, DESTIN, FL, 32541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2016-09-12 | No data | No data |
| LC AMENDMENT | 2014-11-07 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-11-07 | 200 CALUSA BOULEVARD, SUITE 300, DESTIN, FL 32541 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-02-09 |
| LC Amendment | 2016-09-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
