| Entity Name: | FIRST COAST SPEECH & LANGUAGE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Jun 2008 (17 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L08000056669 |
| FEI/EIN Number | 262752911 |
| Address: | 141 Old Orange Park Rd., Orange Park, FL, 32073, US |
| Mail Address: | 376 Possum Point Dr., Eatonton, GA, 31024, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447489240 | 2009-07-14 | 2009-07-14 | 1571 RIVERTRACE DR, FLEMING ISLAND, FL, 320037778, US | 1571 RIVERTRACE DR, FLEMING ISLAND, FL, 320037778, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-631-1525 |
| Fax | 9042151242 |
Authorized person
| Name | MRS. TERESA ELAINE GRADY |
| Role | MANAGING MEMBER |
| Phone | 9046311525 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA6782 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 888893100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GRADY TERESA E | Agent | 141 Old Orange Park Rd., Orange Park, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| GRADY TERESA EElaine | Managing Member | 141 Old Orange Park Rd., Orange Park, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-04 | 141 Old Orange Park Rd., Apt. 272, Orange Park, FL 32073 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-04 | 141 Old Orange Park Rd., Apt. 272, Orange Park, FL 32073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-04 | 141 Old Orange Park Rd., Apt. 272, Orange Park, FL 32073 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-16 | GRADY, TERESA E | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-03-12 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-04-06 |
| ANNUAL REPORT | 2014-04-04 |
| ANNUAL REPORT | 2013-02-15 |
| ANNUAL REPORT | 2012-01-16 |
| ANNUAL REPORT | 2011-04-01 |
| ANNUAL REPORT | 2010-02-13 |
| ANNUAL REPORT | 2009-04-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
