| Entity Name: | EARLY INTERVENTION SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jun 2016 (9 years ago) |
| Document Number: | L16000107240 |
| FEI/EIN Number | 81-2839776 |
| Address: | 5424 LAND O LAKES BLVD, LAND O LAKES, FL, 34639, US |
| Mail Address: | 5424 LAND O LAKES BLVD, LAND O LAKES, FL, 34639, US |
| ZIP code: | 34639 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205347101 | 2017-10-18 | 2017-10-18 | 22214 SHORESIDE DR, LAND O LAKES, FL, 346394615, US | 4022 LAND O LAKES BLVD, LAND O LAKES, FL, 346394413, US | |||||||||||||||||||||||||||
|
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| Phone | +1 813-335-1173 |
| Fax | 8139969691 |
Authorized person
| Name | COURTNEY WHITAKER |
| Role | FOUNDER |
| Phone | 8133351173 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WHITAKER COURTNEY | Agent | 5424 LAND O LAKES BLVD, LAND O LAKES, FL, 34639 |
| Name | Role | Address |
|---|---|---|
| WHITAKER COURTNEY | Manager | 5424 LAND O LAKES BLVD, LAND O LAKES, FL, 34639 |
| SIMMONS KEVIN | Manager | 5424 LAND O LAKES BLVD, LAND O LAKE, FL, 34639 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-29 | 5424 LAND O LAKES BLVD, LAND O LAKES, FL 34639 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-29 | 5424 LAND O LAKES BLVD, LAND O LAKES, FL 34639 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-29 | 5424 LAND O LAKES BLVD, LAND O LAKES, FL 34639 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-02-08 |
| Florida Limited Liability | 2016-06-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
