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OPTIMIZE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC

Company Details

Entity Name: OPTIMIZE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Apr 2020 (5 years ago)
Document Number: L20000106791
FEI/EIN Number 85-1098078
Address: 4941 WHITE BLUFF DRIVE, JACKSONVILLE, FL, 32225
Mail Address: 4941 WHITE BLUFF DRIVE, JACKSONVILLE, FL, 32225
ZIP code: 32225
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215536776 2020-10-25 2020-10-25 4941 WHITE BLUFF DR, JACKSONVILLE, FL, 322251115, US 3030 POWERS AVE, JACKSONVILLE, FL, 322078043, US

Contacts

Phone +1 219-805-1184

Authorized person

Name DR. JOHN JACOB EVANICH
Role PRESIDENT
Phone 2198051184

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
EVANICH JOHN J Agent 4941 WHITE BLUFF DRIVE, JACKSONVILLE, FL, 32225

Authorized Person

Name Role Address
EVANICH JOHN J Authorized Person 4941 WHITE BLUFF DRIVE, JACKSONVILLE, FL, 32225

Documents

Name Date
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-04-10
ANNUAL REPORT 2021-03-18
Florida Limited Liability 2020-04-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State