| Entity Name: | ORLANDO STUTTERING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Feb 2008 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Mar 2011 (14 years ago) |
| Document Number: | L08000012381 |
| FEI/EIN Number | 261887449 |
| Address: | 4401 EAST COLONIAL DRIVE, SUITE #107, ORLANDO, FL, 32803 |
| Mail Address: | 3765 Shawn Cir, ORLANDO, FL, 32826, US |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114244183 | 2010-04-29 | 2010-04-29 | 4401 E COLONIAL DR, ORLANDO, FL, 328035200, US | 4401 E COLONIAL DR, ORLANDO, FL, 328035200, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-619-7548 |
| Fax | 4078985185 |
Authorized person
| Name | MR. THOMAS GIBBONS |
| Role | SPEECH LANGUAGE THERAPIST |
| Phone | 4076197548 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA 6265 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 888245100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GIBBONS THOMAS M | Agent | 3765 Shawn Cir, ORLANDO, FL, 32826 |
| Name | Role | Address |
|---|---|---|
| GIBBONS THOMAS M | Manager | 3765 Shawn Cir, ORLANDO, FL, 32826 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-19 | 4401 EAST COLONIAL DRIVE, SUITE #107, ORLANDO, FL 32803 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-21 | 3765 Shawn Cir, ORLANDO, FL 32826 | No data |
| PENDING REINSTATEMENT | 2011-03-11 | No data | No data |
| REINSTATEMENT | 2011-03-10 | No data | No data |
| PENDING REINSTATEMENT | 2010-10-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-05-12 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-02-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
