| Entity Name: | BUTTERCUP SPEECH THERAPY PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Feb 2020 (5 years ago) |
| Document Number: | L20000064829 |
| FEI/EIN Number | 84-4814211 |
| Address: | 4022 FELDSPAR TRL, ORLANDO, FL, 32826, US |
| Mail Address: | 4022 FELDSPAR TRL, ORLANDO, FL, 32826, US |
| ZIP code: | 32826 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518627702 | 2021-12-29 | 2021-12-29 | 4022 FELDSPAR TRL, ORLANDO, FL, 328265358, US | 4022 FELDSPAR TRL, ORLANDO, FL, 328265358, US | |||||||||||||||||||
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| Phone | +1 407-205-7471 |
Authorized person
| Name | MRS. MEGAN INGALLS |
| Role | SPEECH-LANGUAGE PATHOLOGIST |
| Phone | 4072057471 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024539800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| INGALLS MEGAN | Agent | 4022 FELDSPAR TRL, ORLANDO, FL, 32826 |
| Name | Role | Address |
|---|---|---|
| INGALLS MEGAN | Authorized Member | 4022 FELDSPAR TRL, ORLANDO, FL, 32826 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-27 |
| Florida Limited Liability | 2020-02-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
