| Entity Name: | SUPERIOR SPEECH THERAPY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Feb 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 19 Apr 2021 (4 years ago) |
| Document Number: | L21000070348 |
| FEI/EIN Number | 86-2268740 |
| Address: | 15614 DR MLK JR BLVD, SUITE A, DOVER, FL, 33527, US |
| Mail Address: | 15614 DR MLK JR BLVD, SUITE A, DOVER, FL, 33527, US |
| ZIP code: | 33527 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528719515 | 2022-01-12 | 2022-01-12 | 5306 LENOIR CT, PLANT CITY, FL, 335668093, US | 15614 DR MLK JR BLVD, DOVER, FL, 33527, US | |||||||||||||||||||
|
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| Phone | +1 813-719-0130 |
Authorized person
| Name | MRS. ADRIANA BREWER |
| Role | SPEECH-LANGUAGE PATHOLOGIST/OWNER |
| Phone | 8137190130 |
Taxonomy
| Taxonomy Code | 222Q00000X - Developmental Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110513700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BREWER ADRIANA | Agent | 5306 LENOIR COURT, PLANT CITY, FL, 33566 |
| Name | Role | Address |
|---|---|---|
| BREWER ADRIANA | Authorized Representative | 5306 LENOIR COURT, PLANT CITY, FL, 33566 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2021-04-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-11 |
| LC Amendment | 2021-04-19 |
| Florida Limited Liability | 2021-02-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
