| Entity Name: | CSL SPEECH PATHOLOGY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Apr 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Sep 2021 (3 years ago) |
| Document Number: | L13000058960 |
| FEI/EIN Number | 46-2604814 |
| Address: | 16401 NW 82 PLACE, MIAMI LAKES, FL 33016 |
| Mail Address: | 16401 NW 82 PLACE, MIAMI LAKES, FL 33016 |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841630373 | 2013-06-28 | 2013-06-28 | 16401 NW 82ND PL, MIAMI LAKES, FL, 330163477, US | 16401 NW 82ND PL, MIAMI LAKES, FL, 330163477, US | |||||||||||||||||||||||
|
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| Phone | +1 305-486-8509 |
Authorized person
| Name | MRS. CINDY SCORPO-LUCAS |
| Role | SPEECH LANGUAGE PATHOLOGIST/OWNER |
| Phone | 3054968509 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA10552 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008568400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCORPO-LUCAS, CINDY | Agent | 16401 NW 82 PLACE, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| SCORPO-LUCAS, CINDY | Managing Member | 16401 NW 82 PLACE, MIAMI LAKES, FL 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-09-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2019-10-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-14 | SCORPO-LUCAS, CINDY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-22 | 16401 NW 82 PLACE, MIAMI LAKES, FL 33016 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-04-26 |
| REINSTATEMENT | 2021-09-29 |
| ANNUAL REPORT | 2020-06-15 |
| REINSTATEMENT | 2019-10-14 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
