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PINECREST PERFORMANCE L.L.C.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
AGE RE SERVICES, LLC Agent

Manager

Name Role
PINECREST PHYSICAL THERAPY HOLDINGS, LLC Manager

Events

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

Documents

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