| Entity Name: | BLOOMING SPEECH & LANGUAGE THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 May 2008 (17 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L08000052660 |
| FEI/EIN Number | 262714030 |
| Address: | 10350 BIGTREE LANE, JACKSONVILLE, FL, 32257 |
| Mail Address: | 10350 BIGTREE LANE, JACKSONVILLE, FL, 32257 |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447489745 | 2009-07-08 | 2009-07-08 | 10350 BIG TREE LN, JACKSONVILLE, FL, 322576347, US | 10350 BIG TREE LN, JACKSONVILLE, FL, 322576347, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 904-260-0979 |
| Fax | 9042393216 |
Authorized person
| Name | MARY M. REED |
| Role | MANAGING MEMBER / SLP |
| Phone | 9042600979 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA8105 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 889046300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REED MARY | Agent | 10350 BIGTREE LANE, JACKSONVILLE, FL, 32257 |
| Name | Role | Address |
|---|---|---|
| REED MARY | Managing Member | 10350 BIGTREE LANE, JACKSONVILLE, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-02-14 |
| ANNUAL REPORT | 2015-03-29 |
| ANNUAL REPORT | 2014-04-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
