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REVAMP PERFORMANCE AND RECOVERY, LLC

Company Details

Entity Name: REVAMP PERFORMANCE AND RECOVERY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Mar 2021 (4 years ago)
Document Number: L21000142105
FEI/EIN Number 86-3207566
Address: 12220 Atlantic Blvd, #1285, Jacksonville, FL, 32225, US
Mail Address: 12220 Atlantic Blvd, #1285, Jacksonville, FL, 32225, US
ZIP code: 32225
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326818386 2024-01-02 2024-02-21 12220 ATLANTIC BLVD STE 130, #1285, JACKSONVILLE, FL, 322255826, US 12220 ATLANTIC BLVD STE 130, #1285, JACKSONVILLE, FL, 322255826, US

Contacts

Phone +1 904-444-7610

Authorized person

Name MR. ERIC LEQUAN MOORE JR.
Role OWNER
Phone 9047013310

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
MOORE ERIC LJR. Agent 12220 Atlantic Blvd, Jacksonville, FL, 32225

President

Name Role Address
MOORE ERIC LJR President 12220 Atlantic Blvd, Jacksonville, FL, 32225

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-21 12220 Atlantic Blvd, #1285, Ste. 130, Jacksonville, FL 32225 No data
CHANGE OF MAILING ADDRESS 2024-02-21 12220 Atlantic Blvd, #1285, Ste. 130, Jacksonville, FL 32225 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-21 12220 Atlantic Blvd, #1285, Ste. 130, Jacksonville, FL 32225 No data

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-20
Florida Limited Liability 2021-03-26

Date of last update: 02 Feb 2025

Sources: Florida Department of State