| Entity Name: | OPTIMAL PERFORMANCE THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Sep 2022 (2 years ago) |
| Document Number: | L22000394096 |
| FEI/EIN Number | 92-0411408 |
| Address: | 4600 LINTON BLVD, 210, DELRAY BEACH, FL 33445 |
| Mail Address: | 4600 LINTON BLVD, 210, DELRAY BEACH, FL 33445 |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013629468 | 2022-12-16 | 2022-12-16 | 4600 LINTON BLVD STE 210, DELRAY BEACH, FL, 334456600, US | 4600 LINTON BLVD STE 210, DELRAY BEACH, FL, 334456600, US | |||||||||||||
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| Phone | +1 561-495-4357 |
Authorized person
| Name | ANGELA POULOS |
| Role | CEO |
| Phone | 5614954357 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENGE, ERICH E | Agent | 4600 LINTON BLVD, 210, DELRAY BEACH, FL 33445 |
| Name | Role | Address |
|---|---|---|
| MENGE, ERICH E | Authorized Member | 4600 LINTON BLVD SUITE 210, DELRAY BEACH, FL 33445 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-05-01 |
| Florida Limited Liability | 2022-09-08 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
