| Entity Name: | FUNCTIONAL SPEECH SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Feb 2023 (2 years ago) |
| Document Number: | L23000086529 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 108 ELMWOOD DRIVE, SAINT JOHNS, FL, 32259, UN |
| Mail Address: | 108 ELMWOOD DRIVE, JACKSONVILLE, FL, 32259, UN |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558061770 | 2023-03-07 | 2023-03-07 | 108 ELMWOOD DR, SAINT JOHNS, FL, 322593030, US | 108 ELMWOOD DR, SAINT JOHNS, FL, 322593030, US | |||||||||||||||||||||||
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| Phone | +1 904-851-0428 |
Authorized person
| Name | KAYLA JONES |
| Role | SPEECH-LANGUAGE PATHOLOGIST |
| Phone | 9048510428 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION |
| Number | 14062489 |
| Issuer | STATE LICENSE |
| Number | SA14579 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JONES KAYLA | Agent | 108 ELMWOOD DRIVE, SAINT JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| JONES KAYLA | Manager | 108 ELMWOOD DRIVE, SAINT JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| JONES MICHAEL | Authorized Person | 108 ELMWOOD DRIVE, SAINT JOHNS, FL, 32259 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| Florida Limited Liability | 2023-02-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
