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OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - RIVERVIEW, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BUETHE DOUG Agent 11375 BIG BEND ROAD, RIVERVIEW, FL, 33579

Manager

Name Role Address
BUETHE DOUG Manager 11375 BIG BEND ROAD, RIVERVIEW, FL, 33579

Events

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

Documents

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