| Entity Name: | SPEECH AND OCCUPATIONAL SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Aug 2012 (12 years ago) |
| Document Number: | L12000112207 |
| FEI/EIN Number | 46-0960364 |
| Address: | 1201 Winter Garden Vineland Road, Suite 10, Winter Garden, FL 34787 |
| Mail Address: | 12536 Westfield Lakes Circle, Winter Garden, FL 34787 |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326619628 | 2021-07-07 | 2021-07-07 | 1201 WINTER GARDEN VINELAND RD STE 10, WINTER GARDEN, FL, 347874380, US | 1599 TROPICAL CT, TAVARES, FL, 327784340, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 407-399-6556 |
| Fax | 4076545829 |
Authorized person
| Name | JENNIFER OLESEN |
| Role | PRACTICE OWNER |
| Phone | 4073996556 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104945700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OLESEN, JENNIFER E | Agent | 12536 WESTFIELD LAKES CIRCLE, WINTER GARDEN, FL 34787 |
| Name | Role | Address |
|---|---|---|
| OLESEN, JENNIFER E | Manager | 12536 WESTFIELD LAKES CIRCLE, WINTER GARDEN, FL 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-17 | 1201 Winter Garden Vineland Road, Suite 10, Winter Garden, FL 34787 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-06 | 1201 Winter Garden Vineland Road, Suite 10, Winter Garden, FL 34787 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-01-11 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-26 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-03-05 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4300767108 | 2020-04-13 | 0491 | PPP | 1201 Winter Garden Vineland Road, Suite 10, WINTER GARDEN, FL, 34787-4338 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 22 Feb 2025
Sources: Florida Department of State
