| Entity Name: | SUNSHINE STATE SPEECH-LANGUAGE PATHOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Jun 2022 (3 years ago) |
| Date of dissolution: | 08 Aug 2024 (6 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Aug 2024 (6 months ago) |
| Document Number: | L22000270446 |
| FEI/EIN Number | 88-3159666 |
| Address: | 79 SHERRY DRIVE, ATLANTIC BEACH, FL, 32233 |
| Mail Address: | 79 SHERRY DRIVE, ATLANTIC BEACH, FL, 32233 |
| ZIP code: | 32233 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760119705 | 2022-08-01 | 2022-09-08 | 79 SHERRY DR, ATLANTIC BEACH, FL, 322335233, US | 79 SHERRY DR, ATLANTIC BEACH, FL, 322335233, US | |||||||||||||||||||
|
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| Phone | +1 904-386-1012 |
Authorized person
| Name | MRS. ABBY ROSS-KENNEDY |
| Role | SPEECH-LANGUAGE PATHOLOGIST |
| Phone | 9043861012 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 115056600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROSS-KENNEDY ABBY | Agent | 79 SHERRY DRIVE, ATLANTIC BEACH, FL, 32233 |
| Name | Role | Address |
|---|---|---|
| Ross-Kennedy Abby Abby Ro | Owne | 79 SHERRY DRIVE, ATLANTIC BEACH, FL, 32233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-08-08 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-08-08 |
| ANNUAL REPORT | 2024-04-06 |
| ANNUAL REPORT | 2023-04-03 |
| Florida Limited Liability | 2022-06-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
