| Entity Name: | AUDIOLOGY & HEARING CARE OF SOUTHWEST FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Aug 2014 (10 years ago) |
| Document Number: | L14000135888 |
| FEI/EIN Number | 47-1802074 |
| Address: | 24810 Burnt Pine Drive, BONITA SPRINGS, FL, 34134, US |
| Mail Address: | 24810 Burnt Pine Drive, BONITA SPRINGS, FL, 34134, US |
| ZIP code: | 34134 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538563994 | 2014-10-14 | 2015-05-21 | 24810 BURNT PINE DR, SUITE 2, BONITA SPRINGS, FL, 341341973, US | 24810 BURNT PINE DR, SUITE 2, BONITA SPRINGS, FL, 341341973, US | |||||||||||||||||||||||
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| Phone | +1 239-462-4021 |
Authorized person
| Name | DARLENE WELTON BALLEW |
| Role | AUDIOLOGIST/PRESIDENT |
| Phone | 2394624021 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | AY1221 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI INDIVIDUAL-1, 1912172206 |
| Number | 1912172206 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BALLEW WILLIAM E | Agent | 24810 Burnt Pine Drive, BONITA SPRINGS, FL, 34134 |
| Name | Role | Address |
|---|---|---|
| BALLEW DARLENE W | Manager | 24810 Burnt Pine Drive, BONITA SPRINGS, FL, 34134 |
| Name | Role | Address |
|---|---|---|
| William Ballew | Auth | 24810 Burnt Pine Drive, BONITA SPRINGS, FL, 34134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-25 | 24810 Burnt Pine Drive, Suite 2, BONITA SPRINGS, FL 34134 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-25 | 24810 Burnt Pine Drive, Suite 2, BONITA SPRINGS, FL 34134 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-25 | 24810 Burnt Pine Drive, Suite 2, BONITA SPRINGS, FL 34134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-03-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
