| Entity Name: | SOUTHERN SPEECH PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jan 2023 (2 years ago) |
| Document Number: | L23000056589 |
| FEI/EIN Number | 922205980 |
| Mail Address: | 13800 Panama City Beach Pkwy, Panama City Beach, FL, 32407, US |
| Address: | 13800 Panama City Beach Pkwy, PANAMA CITY BEACH, FL, 32407, US |
| ZIP code: | 32407 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174222111 | 2023-02-28 | 2023-02-28 | 163 HEATHER DR, PANAMA CITY BEACH, FL, 324135215, US | 163 HEATHER DR, PANAMA CITY BEACH, FL, 324135215, US | |||||||||||||
|
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| Phone | +1 850-625-9999 |
Authorized person
| Name | RENEE MILLER |
| Role | SPEECH LANGUAGE PATHOLOGIST |
| Phone | 8506259999 |
Taxonomy
| Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER RENEE G | Agent | 13800 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL, 32407 |
| Name | Role | Address |
|---|---|---|
| MILLER RENEE G | Owne | 13800 Panama City Beach Pkwy, Panama City Beach, FL, 32407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-18 | 13800 Panama City Beach Pkwy, 106D #113, PANAMA CITY BEACH, FL 32407 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-18 | 13800 Panama City Beach Pkwy, 106D #113, PANAMA CITY BEACH, FL 32407 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-18 | MILLER, RENEE G | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-18 | 13800 PANAMA CITY BEACH PKWY, 106D #113, PANAMA CITY BEACH, FL 32407 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-18 |
| Florida Limited Liability | 2023-01-31 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
