Entity Name: | PINECREST PERFORMANCE L.L.C. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 26 Apr 2022 (3 years ago) |
Document Number: | L22000198469 |
FEI/EIN Number | 92-0364664 |
Mail Address: | PO BOX 331941, MIAMI, FL, 33233, US |
Address: | 4405 SW 74th St, MIAMI, FL, 33155, US |
ZIP code: | 33155 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962126169 | 2022-09-30 | 2022-09-30 | PO BOX 331941, MIAMI, FL, 332331941, US | 4405 SW 74TH AVE, MIAMI, FL, 331554407, US | |||||||||||||
|
Phone | +1 786-568-7016 |
Authorized person
Name | RONALD YACOUB |
Role | MANAGER |
Phone | 9543260589 |
Taxonomy
Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
Is Primary | Yes |
Name | Role |
---|---|
AGE RE SERVICES, LLC | Agent |
Name | Role |
---|---|
PINECREST PHYSICAL THERAPY HOLDINGS, LLC | Manager |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 4405 SW 74th St, MIAMI, FL 33155 | No data |
CHANGE OF MAILING ADDRESS | 2023-04-21 | 4405 SW 74th St, MIAMI, FL 33155 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
ANNUAL REPORT | 2023-04-21 |
Florida Limited Liability | 2022-04-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State