Entity Name: | TAKING FLIGHT PEDIATRIC SPEECH & LANGUAGE THERAPY, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 13 May 2021 (4 years ago) |
Document Number: | L21000222873 |
FEI/EIN Number | 86-3932053 |
Address: | 4034 FENROSE CIRCLE, MELBOURNE, FL, 32940, US |
Mail Address: | 4034 FENROSE CIRCLE, MELBOURNE, FL, 32940, US |
ZIP code: | 32940 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962077370 | 2021-05-26 | 2021-09-07 | 4034 FENROSE CIR, MELBOURNE, FL, 329401213, US | 4034 FENROSE CIR, MELBOURNE, FL, 329401213, US | |||||||||||||||||||
|
Phone | +1 321-591-1250 |
Fax | 3215419147 |
Authorized person
Name | MRS. DANA E. MCCLURE |
Role | SPEECH PATHOLOGIST/OWNER/EMPLOYEE |
Phone | 3215911250 |
Taxonomy
Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
Is Primary | No |
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MCCLURE DANA E | Agent | 4034 FENROSE CIRCLE, MELBOURNE, FL, 32940 |
Name | Role | Address |
---|---|---|
MCCLURE DANA E | Authorized Member | 4034 FENROSE CIRCLE, MELBOURNE, FL, 32940 |
Name | Role | Address |
---|---|---|
MCCLURE MICHAEL R | Authorized Representative | 4034 FENROSE CIRCLE, MELBOURNE, FL, 32940 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-19 |
ANNUAL REPORT | 2023-04-01 |
ANNUAL REPORT | 2022-04-04 |
Florida Limited Liability | 2021-05-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State