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MOSS SLP THERAPY LLC

Company Details

Entity Name: MOSS SLP THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Jan 2023 (2 years ago)
Document Number: L23000035279
FEI/EIN Number 92-2101543
Address: 11080 LOTHMORE RD, JACKSONVILLE, FL, 32221
Mail Address: 11080 LOTHMORE RD, JACKSONVILLE, FL, 32221
ZIP code: 32221
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053093377 2023-08-04 2023-08-04 11080 LOTHMORE RD, JACKSONVILLE, FL, 322213873, US 11080 LOTHMORE RD, JACKSONVILLE, FL, 322213873, US

Contacts

Phone +1 817-727-3226

Authorized person

Name ELIZABETH E MOSS
Role SPEECH PATHOLOGIST, OWNER
Phone 8177273226

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes

Agent

Name Role Address
MOSS ELIZABETH E Agent 11080 LOTHMORE RD, JACKSONVILLE, FL, 32221

Owne

Name Role Address
Moss Elizabeth E Owne 11080 LOTHMORE RD, JACKSONVILLE, FL, 32221

Documents

Name Date
ANNUAL REPORT 2024-03-07
Florida Limited Liability 2023-01-19

Date of last update: 03 Feb 2025

Sources: Florida Department of State