| Entity Name: | MARIPOSA SPEECH THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Oct 2021 (3 years ago) |
| Document Number: | L21000469014 |
| FEI/EIN Number | 87-3371869 |
| Address: | 60 YACHT CLUB DR, NE, #10, FORT WALTON BEACH, FL 32548 |
| Mail Address: | 60 YACHT CLUB DR, NE, #10, FORT WALTON BEACH, FL 32548 |
| ZIP code: | 32548 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770248056 | 2021-11-02 | 2021-11-02 | 60 YACHT CLUB DR NE APT 10, FORT WALTON BEACH, FL, 325488800, US | 60 YACHT CLUB DR NE APT 10, FORT WALTON BEACH, FL, 325488800, US | |||||||||||||
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| Phone | +1 208-757-3250 |
Authorized person
| Name | TAMARA BIDSTRUP |
| Role | MANAGER |
| Phone | 2087573250 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BIDSTRUP, TAMARA | Agent | 60 YACHT CLUB DR, NE, #10, FORT WALTON BEACH, FL 32548 |
| Name | Role | Address |
|---|---|---|
| BIDSTRUP, TAMARA | Manager | 60 YACHT CLUB DR, NE, #10, FORT WALTON BEACH, FL 32548 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-02-18 |
| ANNUAL REPORT | 2022-03-25 |
| Florida Limited Liability | 2021-10-28 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
