| Entity Name: | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - LAKELAND, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Aug 2017 (7 years ago) |
| Document Number: | L17000186459 |
| FEI/EIN Number | 82-2670649 |
| Mail Address: | 14004 Roosevelt Blvd, Clearwater, FL, 33762, US |
| Address: | 4525 SOUTH FLORIDA AVENUE, SUITE 25, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508378290 | 2017-11-02 | 2017-11-02 | 3903 NORTHDALE BLVD STE 111W, TAMPA, FL, 336241853, US | 4525 S FLORIDA AVE STE 25, LAKELAND, FL, 338132184, US | |||||||||||||
|
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| Phone | +1 813-381-6778 |
Authorized person
| Name | BETH A PATTERSON |
| Role | CHIEF OF COMPLIANCE, SECURITY & PRI |
| Phone | 8136904414 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATTERSON ROBERT L | Agent | 14004 Roosevelt Blvd, Clearwater, FL, 33762 |
| Name | Role |
|---|---|
| PATTERSON FAMILY LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-01 | 14004 Roosevelt Blvd, #613, Clearwater, FL 33762 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-16 | 4525 SOUTH FLORIDA AVENUE, SUITE 25, LAKELAND, FL 33813 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-10 | 4525 SOUTH FLORIDA AVENUE, SUITE 25, LAKELAND, FL 33813 | No data |
| 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 |
| Florida Limited Liability | 2017-08-31 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
