| Entity Name: | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - CLEARWATER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Nov 2015 (9 years ago) |
| Document Number: | L15000194484 |
| FEI/EIN Number | 47-5647829 |
| Mail Address: | 14004 Roosevelt Blvd, Suite 613, Clearwater, FL, 33762, US |
| Address: | 612 DRUID ROAD EAST, SUITE D, CLEARWATER, FL, 33756, US |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104283910 | 2016-01-25 | 2016-02-26 | 6023 HAMMOCK WOODS DR, ODESSA, FL, 335563330, US | 612 DRUID RD E, SUITE D, CLEARWATER, FL, 337563912, US | |||||||||||||||||
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| Phone | +1 727-475-5543 |
Authorized person
| Name | ROBERT PATTERSON |
| Role | MANAGER |
| Phone | 8136904494 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT4616 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Maddox Jeremy | Agent | 1501 W Cleveland ST, Tampa, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| Maddox Jeremy L | Manager | 1501 W Cleveland ST, Tampa, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-06-27 | Maddox, Jeremy | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-06-27 | 1501 W Cleveland ST, #613, Tampa, FL 33606 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-16 | 612 DRUID ROAD EAST, SUITE D, CLEARWATER, FL 33756 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-27 |
| 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 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
