| Entity Name: | DR. RACHEL COHEN AUDIOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Jun 2014 (11 years ago) |
| Document Number: | L14000091762 |
| FEI/EIN Number | 47-1056597 |
| Address: | 9250 CORKSCREW RD., ESTERO, FL, 33928, US |
| Mail Address: | 9250 CORKSCREW RD., ESTERO, FL, 33928, US |
| ZIP code: | 33928 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417362898 | 2014-06-24 | 2014-06-24 | 13889 FARNESE DR, ESTERO, FL, 339285702, US | 13889 FARNESE DR, ESTERO, FL, 339285702, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 202-997-4045 |
Authorized person
| Name | RACHEL COHEN |
| Role | MBR/OWNER AUDIOLOGIST |
| Phone | 2029974045 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | AY1495 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004307700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000583700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COHEN RACHEL E | Agent | 9250 CORKSCREW RD., ESTERO, FL, 33928 |
| Name | Role | Address |
|---|---|---|
| COHEN RACHEL E | Manager | 9250 CORKSCREW RD., ESTERO, FL, 33928 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000112319 | LISTENHEAR | ACTIVE | 2020-08-29 | 2025-12-31 | No data | 13889 FARNESE DRIVE, ESTERO, FL, 33928 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-20 | 9250 CORKSCREW RD., SUITE #12, ESTERO, FL 33928 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-02-28 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-03-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
