| Entity Name: | SPEECH INNOVATIONS OF CENTRAL FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Oct 2013 (11 years ago) |
| Document Number: | L13000153020 |
| FEI/EIN Number | 46-3876933 |
| Address: | 2080 W Eau Gallie Blvd, MELBOURNE, FL, 32935, US |
| Mail Address: | 2080 W Eau Gallie Blvd, MELBOURNE, FL, 32935, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568011872 | 2019-09-09 | 2019-09-09 | 253 PLAZA DR STE C, OVIEDO, FL, 327656460, US | 253 PLAZA DR STE C, OVIEDO, FL, 327656460, US | |||||||||||||||||||||
|
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| Phone | +1 407-694-3603 |
| Fax | 3212967130 |
Authorized person
| Name | JANE KATHERINE AUTENRIETH |
| Role | PRESIDENT |
| Phone | 4076943603 |
Taxonomy
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103458000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AUTENRIETH JANE | Agent | 2080 West Eau Gallie Boulevard, Melbourne, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| AUTENRIETH JANE | President | 2080 W Eau Gallie Blvd, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| AUTENRIETH JANE | Secretary | 2080 W Eau Gallie Blvd, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| AUTENRIETH JANE | Treasurer | 2080 W Eau Gallie Blvd, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| AUTENRIETH JANE | Director | 2080 W Eau Gallie Blvd, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-04 | 2080 West Eau Gallie Boulevard, Melbourne, FL 32935 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-28 | 2080 W Eau Gallie Blvd, MELBOURNE, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-28 | 2080 W Eau Gallie Blvd, MELBOURNE, FL 32935 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-02-03 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
