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PERFORMANCE HYPERBARIC LLC

Company Details

Entity Name: PERFORMANCE HYPERBARIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Sep 2023 (a year ago)
Document Number: L23000432547
FEI/EIN Number 934256179
Address: 1929 NW Federal Highway, Stuart, FL, 34994, US
Mail Address: 1929 NW Federal Highway, Stuart, FL, 34994, US
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396565602 2024-10-11 2024-10-11 1472 SE SUNSHINE AVE, PORT ST LUCIE, FL, 349526009, US 1929 NW FEDERAL HWY, STUART, FL, 349949303, US

Contacts

Phone +1 347-427-5655

Authorized person

Name NIKOLAS MANGOLA
Role OWNER
Phone 3474275655

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role
LOUTOS LAW PLLC Agent

Manager

Name Role Address
MANGOLA NIKOLAS Manager 1929 NW Federal Highway, Stuart, FL, 34994

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-11 1929 NW Federal Highway, Stuart, FL 34994 No data
CHANGE OF MAILING ADDRESS 2024-02-11 1929 NW Federal Highway, Stuart, FL 34994 No data

Documents

Name Date
ANNUAL REPORT 2024-02-11
Florida Limited Liability 2023-09-18

Date of last update: 02 Feb 2025

Sources: Florida Department of State