| Entity Name: | MY WORD SPEECH THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Jul 2022 (3 years ago) |
| Document Number: | L22000335100 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 222 NE 24TH AVE, CAPE CORAL, FL 33909 |
| Mail Address: | 222 NE 24TH AVE, CAPE CORAL, FL 33909 |
| ZIP code: | 33909 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548974561 | 2023-01-13 | 2024-07-05 | 222 NE 24TH AVE, CAPE CORAL, FL, 339092809, US | 1425 VISCAYA PKWY STE 201, CAPE CORAL, FL, 339903294, US | |||||||||||||||||||||||
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| Phone | +1 239-200-3721 |
| Phone | +1 239-286-4432 |
| Fax | 8667595426 |
Authorized person
| Name | DR. LIZANDRA M GARCIA CARMONA |
| Role | OWNER |
| Phone | 2392003721 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105114300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA CARMONA, LIZANDRA M | Agent | 222 NE 24TH AVE, CAPE CORAL, FL 33909 |
| Name | Role | Address |
|---|---|---|
| GARCIA CARMONA, LIZANDRA M | Manager | 222 NE 24TH AVE, CAPE CORAL, FL 33909 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| AMENDED ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2023-03-08 |
| Florida Limited Liability | 2022-07-29 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
