| Entity Name: | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BAYSIDE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Jul 2018 (7 years ago) |
| Document Number: | L18000182860 |
| FEI/EIN Number | 831295716 |
| Address: | 73 N PARK PLACE BLVD., STE. 102, CLEARWATER, FL, 33759, US |
| Mail Address: | 14004 Roosevelt Blvd, Suite 613, Clearwater, FL, 33762, US |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538630801 | 2018-12-16 | 2018-12-16 | 6023 HAMMOCK WOODS DR, ODESSA, FL, 335563330, US | 73 N PARK PLACE BLVD STE 102, CLEARWATER, FL, 337593917, US | |||||||||||||||||||
|
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| Phone | +1 727-475-5540 |
Authorized person
| Name | BETH PATTERSON |
| Role | OWNER |
| Phone | 7274755540 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PT LICENSE |
| Number | PT4616 |
| State | FL |
| 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 | 73 N PARK PLACE BLVD., STE. 102, CLEARWATER, FL 33759 | 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 |
| Florida Limited Liability | 2018-07-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
