Entity Name: | GUIONS PROFESSIONAL SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 12 Jan 2021 (4 years ago) |
Document Number: | L21000028327 |
FEI/EIN Number | 854074979 |
Address: | 721 Balmoral Circle, Leesburg Fl, FL, 34748, US |
Mail Address: | P.O. BOX 895297, LEESBURG, FL, 34789, US |
ZIP code: | 34748 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205604931 | 2023-12-12 | 2023-12-12 | 1502 N DONNELLY ST STE 109, MOUNT DORA, FL, 327572846, US | 721 BALMORAL CIR, LEESBURG, FL, 347485606, US | |||||||||||||||
|
Phone | +1 352-720-3160 |
Phone | +1 352-435-7068 |
Authorized person
Name | MR. TERENCE MICHAEL GUIONS |
Role | MEDICAID WAIVER PROVIDER |
Phone | 3528009589 |
Taxonomy
Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GUIONS TERENCE M | Agent | 721 Balmoral Circle, Leesburg Fl, FL, 34748 |
Name | Role | Address |
---|---|---|
Guions terence | Chief Executive Officer | 35009 Sweet Leaf Lane, Leesburg, FL, 34788 |
Guions Jalaneia R | Chief Executive Officer | 35009 Sweet Leaf Lane, Leesburg, FL, 34788 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 721 Balmoral Circle, Leesburg Fl, FL 34748 | No data |
CHANGE OF MAILING ADDRESS | 2024-04-29 | 721 Balmoral Circle, Leesburg Fl, FL 34748 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 721 Balmoral Circle, Leesburg Fl, FL 34748 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-29 |
ANNUAL REPORT | 2023-04-29 |
ANNUAL REPORT | 2022-04-30 |
Florida Limited Liability | 2021-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State