| Entity Name: | COASTAL SPEECH AND LANGUAGE CENTER , LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Feb 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 05 Jun 2023 (2 years ago) |
| Document Number: | L23000105299 |
| FEI/EIN Number | 92-2818220 |
| Address: | 55 PLAZA DR, SUITE 6, PALM COAST, FL 32137 |
| Mail Address: | 55 PLAZA DR, SUITE 6, PALM COAST, FL 32137 |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932899523 | 2023-05-09 | 2023-05-09 | 32 CHEROKEE CT W, PALM COAST, FL, 321378968, US | 32 CHEROKEE CT W, PALM COAST, FL, 321378968, US | |||||||||||||
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| Phone | +1 386-346-0523 |
Authorized person
| Name | JENNIFER DUCKWORTH |
| Role | OWNER, SPEECH-LANGUAGE PATHOLOGIST |
| Phone | 3863460523 |
Taxonomy
| Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUCKLEBERRY, DERRICK | Agent | 225 E. ROBINSON STREET, SUITE 570, ORLANDO, FL 32801 |
| Name | Role | Address |
|---|---|---|
| DUCKWORTH, JENNIFER | Managing Member | 32 CHEROKEE CT WEST, PALM COAST, FL 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-15 | 55 PLAZA DR, SUITE 6, PALM COAST, FL 32137 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-15 | 55 PLAZA DR, SUITE 6, PALM COAST, FL 32137 | No data |
| LC AMENDMENT | 2023-06-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| LC Amendment | 2023-06-05 |
| Florida Limited Liability | 2023-02-28 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
