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POTTER SPEECH & LANGUAGE THERAPY, LLC

Company Details

Entity Name: POTTER SPEECH & LANGUAGE THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Mar 2021 (4 years ago)
Document Number: L21000116167
FEI/EIN Number 86-2962732
Address: 1504 Delano Trent Street, Ruskin, FL, 33570, US
Mail Address: 1504 Delano Trent Street, Ruskin, FL, 33570, US
ZIP code: 33570
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871231787 2022-05-23 2022-06-26 1504 DELANO TRENT ST, RUSKIN, FL, 335707942, US 1504 DELANO TRENT ST, RUSKIN, FL, 335707942, US

Contacts

Phone +1 904-505-0847

Authorized person

Name MARLEE POTTER
Role OWNER
Phone 9045050847

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes
Taxonomy Code 252Y00000X - Early Intervention Provider Agency
Is Primary No

Agent

Name Role Address
POTTER MARLEE E Agent 1504 Delano Trent Street, Ruskin, FL, 33570

Manager

Name Role Address
POTTER MARLEE E Manager 1504 Delano Trent Street, Ruskin, FL, 33570

Authorized Representative

Name Role Address
POTTER GRANT M Authorized Representative 1504 Delano Trent Street, Ruskin, FL, 33570

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-17 1504 Delano Trent Street, Ruskin, FL 33570 No data
CHANGE OF MAILING ADDRESS 2021-06-09 1504 Delano Trent Street, Ruskin, FL 33570 No data

Documents

Name Date
ANNUAL REPORT 2024-04-07
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-01-20
Florida Limited Liability 2021-03-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State