| Entity Name: | CRYSTAL CARROLL, MS, CCC-SLP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Nov 2022 (2 years ago) |
| Document Number: | L22000471148 |
| FEI/EIN Number | 88-4266493 |
| Address: | 10046 DAISY AVE, PALM BEACH GARDENS, FL, 33410, US |
| Mail Address: | 10046 DAISY AVE, PALM BEACH GARDENS, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972216976 | 2023-01-04 | 2023-01-04 | 10046 DAISY AVE, PALM BEACH GARDENS, FL, 334104723, US | 10046 DAISY AVE, PALM BEACH GARDENS, FL, 334104723, US | |||||||||||||
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| Phone | +1 806-570-1523 |
Authorized person
| Name | CRYSTAL CARROLL |
| Role | OWNER |
| Phone | 8065701523 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARROLL CRYSTAL | Agent | 10046 DAISY AVE, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| CARROLL CRYSTAL | Manager | 10046 DAISY AVE, PALM BEACH GARDENS, FL, 33410 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-04-14 |
| Florida Limited Liability | 2022-11-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
