| Entity Name: | COMMUNICATION STATION & CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jun 2017 (8 years ago) |
| Document Number: | L17000137013 |
| FEI/EIN Number | 821982404 |
| Address: | 12008 NW State Rd 20, BRISTOL, FL, 32321, US |
| Mail Address: | 11899 NW LAKE MYSTIC DUGGAR RD, BRISTOL, FL, 32321--392, UN |
| ZIP code: | 32321 |
| County: | Liberty |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962916551 | 2017-11-19 | 2017-11-19 | 11899 NW LAKE MYSTIC DUGGAR RD, BRISTOL, FL, 323213929, US | 10659 NW STATE ROAD 20, BRISTOL, FL, 323213441, US | |||||||||||||||||||||||||
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| Phone | +1 850-643-1979 |
| Fax | 8506431293 |
Authorized person
| Name | MRS. JORDAN SIMS WAHLQUIST |
| Role | OWNER |
| Phone | 8506431979 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA11635 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016774900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WAHLQUIST JORDAN | Agent | 11899 NW LAKE MYSTIC DUGGAR RD, BRISTOL, FL, 32321 |
| Name | Role | Address |
|---|---|---|
| WAHLQUIST JORDAN | Manager | 11899 NW LAKE MYSTIC DUGGAR RD, BRISTOL, FL, 32321-392 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-30 | 12008 NW State Rd 20, BRISTOL, FL 32321 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-29 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-03-04 |
| Florida Limited Liability | 2017-06-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
