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AUTISM SERVICES OF FL, LLC

Company Details

Entity Name: AUTISM SERVICES OF FL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Feb 2021 (4 years ago)
Document Number: L21000093857
FEI/EIN Number 86-2444798
Address: 12501 WORLD PLAZA LN, FORT MYERS, FL, 33907, US
Mail Address: 12501 WORLD PLAZA LN, FORT MYERS, FL, 33907, US
ZIP code: 33907
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801471081 2021-03-10 2024-04-17 12501 WORLD PLAZA LN BLDG 51, FORT MYERS, FL, 339073991, US 12501 WORLD PLAZA LN BLDG 51, FORT MYERS, FL, 339073991, US

Contacts

Phone +1 239-349-3139
Fax 2399844372

Authorized person

Name MRS. NICOLE PAMELA EDGE
Role OWNER
Phone 2397073383

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role
BEACON HOLDING LLC Agent

Manager

Name Role
BEACON HOLDING LLC Manager

Auth

Name Role Address
EDGE NICOLE P Auth 2807 SW 29th PL, CAPE CORAL, FL, 33914
EDGE TIMOTHY W Auth 2807 SW 29th Pl, CAPE CORAL, FL, 33914

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-12 12501 WORLD PLAZA LN, BLDG 51, FORT MYERS, FL 33907 No data
CHANGE OF MAILING ADDRESS 2024-02-12 12501 WORLD PLAZA LN, BLDG 51, FORT MYERS, FL 33907 No data
REGISTERED AGENT NAME CHANGED 2024-02-12 Beacon Holding LLC No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-23 2807 SW 29th Place, CAPE CORAL, FL 33914 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-07-02
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-01
Florida Limited Liability 2021-02-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State