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OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES BRADENTON LLC

Company Details

Entity Name: OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES BRADENTON LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Apr 2024 (9 months ago)
Document Number: L24000194460
Address: 714 MANATEE AVENUE, SUITE C, BRADENTON, FL 34208
Mail Address: 14004 ROOSEVELT BLVD, CLEARWATER, FL 33762 UN
ZIP code: 34208
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962259739 2024-05-01 2024-05-01 21756 STATE ROAD 54 STE 102, LUTZ, FL, 335492905, US 714 MANATEE AVE E STE C, BRADENTON, FL, 342081235, US

Contacts

Phone +1 727-475-5540

Authorized person

Name BETH PATTERSON
Role OWNER
Phone 7274755540

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
PATTERSON, ROBERT Agent 14004 ROOSEVELT BLVD, CLEARWATER, FL 33762

Manager

Name Role Address
PATTERSON, ROBERT Manager 14004 ROOSEVELT BLVD, CLEARWATER, FL 33762

Documents

Name Date
Florida Limited Liability 2024-04-25

Date of last update: 08 Feb 2025

Sources: Florida Department of State