Entity Name: | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - RIVERVIEW, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 05 Dec 2014 (10 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 02 Dec 2020 (4 years ago) |
Document Number: | L14000186933 |
FEI/EIN Number | 472491734 |
Mail Address: | 14004 Roosevelt Blvd, Suite 613, Clearwater, FL, 33762, US |
Address: | 11375 BIG BEND ROAD, RIVERVIEW, FL, 33579, US |
ZIP code: | 33579 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1063810505 | 2014-12-16 | 2014-12-16 | 6023 HAMMOCK WOODS DR, ODESSA, FL, 335563330, US | 11375 BIG BEND RD, RIVERVIEW, FL, 335797183, US | |||||||||||||||||
|
Phone | +1 813-690-4494 |
Authorized person
Name | BETH PATTERSON |
Role | OWNER |
Phone | 8136904494 |
Taxonomy
Taxonomy Code | 225100000X - Physical Therapist |
License Number | PT4616 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BUETHE DOUG | Agent | 11375 BIG BEND ROAD, RIVERVIEW, FL, 33579 |
Name | Role | Address |
---|---|---|
BUETHE DOUG | Manager | 11375 BIG BEND ROAD, RIVERVIEW, FL, 33579 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2023-10-16 | 11375 BIG BEND ROAD, RIVERVIEW, FL 33579 | No data |
LC AMENDMENT | 2020-12-02 | No data | No data |
LC STMNT OF RA/RO CHG | 2018-06-05 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2018-06-05 | BUETHE, DOUG | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-06-05 | 11375 BIG BEND ROAD, RIVERVIEW, FL 33579 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-01 |
ANNUAL REPORT | 2023-01-18 |
ANNUAL REPORT | 2022-01-20 |
ANNUAL REPORT | 2021-01-10 |
LC Amendment | 2020-12-02 |
ANNUAL REPORT | 2020-01-19 |
ANNUAL REPORT | 2019-01-26 |
CORLCRACHG | 2018-06-05 |
ANNUAL REPORT | 2018-01-14 |
ANNUAL REPORT | 2017-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State