| Entity Name: | PINNACLE MOVEMENT AND PERFORMANCE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Feb 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 09 Dec 2019 (5 years ago) |
| Document Number: | L18000029035 |
| FEI/EIN Number | 82-4485643 |
| Address: | 2855 S Congress Ave STE C, Delray Beach, FL 33445 |
| Mail Address: | 1312 coastal bay Blvd, BOYNTON BEACH, FL 33435 |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225527237 | 2018-05-04 | 2024-06-13 | 2855 S CONGRESS AVE STE C, DELRAY BEACH, FL, 334457312, US | 2855 S CONGRESS AVE STE C, DELRAY BEACH, FL, 334457312, US | |||||||||||||||||||||||||
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| Phone | +1 561-325-8278 |
| Fax | 5619621567 |
Authorized person
| Name | DR. ERIC OTERO |
| Role | PHYSICAL THERAPIST |
| Phone | 4079227622 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT31829 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE OF FL, DEPT OF HEALTH, DIVISION OF MEDICAL QUALITY OF ASSURANCE |
| Number | PT31829 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OTERO, ERIC | Agent | 1312 Coastal Bay Boulevard, Boynton Beach, FL 33435 |
| Name | Role | Address |
|---|---|---|
| OTERO, ERIC | Manager | 1312 Coastal Bay Blvd, BOYNTON BEACH, FL 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-17 | 2855 S Congress Ave STE C, Delray Beach, FL 33445 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-19 | 1312 Coastal Bay Boulevard, Boynton Beach, FL 33435 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-10 | 2855 S Congress Ave STE C, Delray Beach, FL 33445 | No data |
| LC AMENDMENT | 2019-12-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-12-09 | OTERO, ERIC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-07-10 |
| ANNUAL REPORT | 2022-03-26 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-18 |
| LC Amendment | 2019-12-09 |
| ANNUAL REPORT | 2019-06-13 |
| Florida Limited Liability | 2018-02-01 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
