| Entity Name: | CENTRAL FLORIDA SPEECH AND HEARING CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Feb 1960 (65 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 19 Dec 2008 (16 years ago) |
| Document Number: | 700524 |
| FEI/EIN Number | 59-0939466 |
| Address: | 3020 LAKELAND HIGHLANDS ROAD, LAKELAND, FL 33803 |
| Mail Address: | 3020 Lakeland Highlands Road, LAKELAND, FL 33803 |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669017158 | 2019-11-08 | 2023-09-21 | 3020 LAKELAND HIGHLANDS RD, LAKELAND, FL, 338034338, US | 3020 LAKELAND HIGHLANDS RD, LAKELAND, FL, 338034338, US | |||||||||||||||||||||
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| Phone | +1 863-686-3189 |
| Fax | 8636821348 |
Authorized person
| Name | ROBIN COLE |
| Role | COO |
| Phone | 8636863189 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 085626600 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL FLORIDA SPEECH AND HEARING CENTER 401(K) PLAN | 2023 | 590939466 | 2024-06-18 | CENTRAL FLORIDA SPEECH AND HEARING CENTER, INC. | 30 | |||||||||||||
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| CENTRAL FLORIDA SPEECH AND HEARING CENTER 401(K) PLAN | 2022 | 590939466 | 2023-06-29 | CENTRAL FLORIDA SPEECH AND HEARING CENTER, INC. | 31 | |||||||||||||
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| CENTRAL FLORIDA SPEECH AND HEARING CENTER 401(K) PLAN | 2021 | 590939466 | 2022-07-18 | CENTRAL FLORIDA SPEECH AND HEARING CENTER, INC. | 31 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| Bonta, Roxann | Agent | 3020 Lakeland Highlands Road, LAKELAND, FL 33803 |
| Name | Role | Address |
|---|---|---|
| Holm, David Jason | Chairman | 925 Brookwood Drive, Lakeland, FL 33813 |
| Name | Role | Address |
|---|---|---|
| Krause, Elizabeth | Secretary | 8949 Magnolia Chase Circle, Tampa, FL 33647 |
| Name | Role | Address |
|---|---|---|
| Jacobi, Gina | Treasurer | 153 W. Christina Blvd., Lakeland, FL 33813 |
| Name | Role | Address |
|---|---|---|
| Bonta, Roxann | President | 3020 Lakeland Highlands Road, LAKELAND, FL 33803 |
| Name | Role | Address |
|---|---|---|
| Corrao, Anthony | Vice Chairman | 1240 Vista Hills Drive, Lakeland, FL 33813 |
| Name | Role | Address |
|---|---|---|
| Abels, Bruce | Director | 2314 Nevada Road, Lakeland, FL 33803 |
| Buckley, Ryan | Director | 1410 Clarendon Avenue, Lakeland, FL 33803 |
| Craven, Wes | Director | 834 Cumberland Street, Lakeland, FL 33801 |
| Doty, Scott | Director | 6774 Highlands Creek Loop, Lakeland, FL 33813 |
| Floyd, Peggy | Director | 1301 Meadow Circle NE, Winter Haven, FL 33881 |
| LLOYD THOMAS, INC. | Director | No data |
| Maxey, Rick | Director | 1208 Vista Hill Drive, Lakeland, FL 33813 |
| McKinney, Bianca | Director | 6903 Marilyn Drive, Lakeland, FL 33809 |
| Morgan, Andra | Director | 2180 20th St. NW, Winter Haven, FL 33881 |
| Otto, Trista | Director | 3010 Saddle Creak Road, Lakeland, FL 33801 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000001065 | LAKELAND HEARING CARE | ACTIVE | 2021-01-04 | 2026-12-31 | No data | 3020 LAKELAND HIGHLANDS ROAD, LAKELAND, FL, 33803 |
| G11000041430 | A.C.E. CHARTER SCHOOL | EXPIRED | 2011-04-28 | 2016-12-31 | No data | 710 E. BELLA VISTA STREET, LAKELAND, FL, 33805 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-02-23 | Bonta, Roxann | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-08-23 | 3020 Lakeland Highlands Road, LAKELAND, FL 33803 | No data |
| CHANGE OF MAILING ADDRESS | 2013-08-23 | 3020 LAKELAND HIGHLANDS ROAD, LAKELAND, FL 33803 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-11 | 3020 LAKELAND HIGHLANDS ROAD, LAKELAND, FL 33803 | No data |
| CANCEL ADM DISS/REV | 2008-12-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REINSTATEMENT | 2004-05-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| AMENDMENT | 1992-03-18 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 1984-02-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-08-15 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
