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SPEECH WORKS PEDIATRIC THERAPY, LLC

Company Details

Entity Name: SPEECH WORKS PEDIATRIC THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 23 Sep 2008 (16 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 25 Jan 2022 (3 years ago)
Document Number: L08000090783
FEI/EIN Number 26-3161276
Mail Address: 5901 SW 74th Street, Suite 414, Miami, FL 33143
Address: 4875 Palm Coast Parkway NW, Palm Coast, FL 32137
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124691464 2021-07-23 2024-11-01 4077 N CHINOOK LN, ORMOND BEACH, FL, 321749326, US 569 HEALTH BLVD, SUITE A, DAYTONA BEACH, FL, 32114, US

Contacts

Phone +1 386-446-9935
Fax 3864667777
Fax 3864467777

Authorized person

Name KAREN S. HORTON
Role DIRECTOR
Phone 3864469935

Taxonomy

Taxonomy Code 2081P0010X - Pediatric Rehabilitation Medicine Physician
Is Primary No
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPEECH WORKS PEDIATRIC THERAPY 401(K) PLAN 2022 263161276 2023-10-19 SPEECH WORKS PEDIATRIC THERAPY, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621340
Sponsor’s telephone number 3864469935
Plan sponsor’s address 4077 N. CHINOOK LANE, ORMOND BEACH, FL, 32174
SPEECH WORKS PEDIATRIC THERAPY 401(K) PLAN 2022 263161276 2023-05-30 SPEECH WORKS PEDIATRIC THERAPY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621340
Sponsor’s telephone number 3864469935
Plan sponsor’s address 4077 N. CHINOOK LANE, ORMOND BEACH, FL, 32174
SPEECH WORKS PEDIATRIC THERAPY 401(K) PLAN 2021 263161276 2022-05-19 SPEECH WORKS PEDIATRIC THERAPY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621340
Sponsor’s telephone number 3864469935
Plan sponsor’s address 4077 N. CHINOOK LANE, ORMOND BEACH, FL, 32174
SPEECH WORKS PEDIATRIC THERAPY 401(K) PLAN 2020 263161276 2021-05-19 SPEECH WORKS PEDIATRIC THERAPY, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621340
Sponsor’s telephone number 3864469935
Plan sponsor’s address 4077 N. CHINOOK LANE, ORMOND BEACH, FL, 32174

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-05-19
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Member

Name Role Address
SETTEMBRINO, JEFF Member 1515 Sunset Drive, Suite 32 Miami, FL 33143
Falero, Ramon Member 5901 SW 74th Street, Suite 414 Miami, FL 33143
VAIDIS, OLIVER Member 5901 SW 74th Street, Suite 414 Miami, FL 33143

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000086179 MYSPOT ACTIVE 2024-07-18 2029-12-31 No data 5901 S.W. 74 STREET, SUITE 414, MIAMI, FL, 33143
G24000081331 MY SPOT ACTIVE 2024-07-08 2029-12-31 No data YES, 5901 SW 74 STREET SUITE 414, MIAMI, FL, 33143
G22000070961 SPEECH WORKS ACTIVE 2022-06-10 2027-12-31 No data 5901 SW 74TH STREET, SUITE 210, MIAMI, FL, 33143

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-06-26 4875 Palm Coast Parkway NW, Palm Coast, FL 32137 No data
CHANGE OF MAILING ADDRESS 2024-02-19 4875 Palm Coast Parkway NW, Palm Coast, FL 32137 No data
LC STMNT OF RA/RO CHG 2022-01-25 No data No data
REGISTERED AGENT NAME CHANGED 2022-01-25 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-25 1201 HAYS ST, TALLAHASSEE, FL 32301 No data
LC AMENDMENT 2016-08-04 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-19
AMENDED ANNUAL REPORT 2023-04-19
AMENDED ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2023-02-01
AMENDED ANNUAL REPORT 2022-03-25
AMENDED ANNUAL REPORT 2022-03-21
ANNUAL REPORT 2022-03-17
CORLCRACHG 2022-01-25
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-16

Date of last update: 26 Jan 2025

Sources: Florida Department of State