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TAKING FLIGHT PEDIATRIC SPEECH & LANGUAGE THERAPY, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
MCCLURE DANA E Agent 4034 FENROSE CIRCLE, MELBOURNE, FL, 32940

Authorized Member

Name Role Address
MCCLURE DANA E Authorized Member 4034 FENROSE CIRCLE, MELBOURNE, FL, 32940

Authorized Representative

Name Role Address
MCCLURE MICHAEL R Authorized Representative 4034 FENROSE CIRCLE, MELBOURNE, FL, 32940

Documents

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