| Entity Name: | YELITZA I. RUIZ AHORRIO SPEECH & LANGUAGE THERAPY, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Jun 2023 (2 years ago) |
| Document Number: | L23000286730 |
| FEI/EIN Number | 93-1915960 |
| Address: | 14124 QUEENSIDE ST., ORLANDO, FL 32824 |
| Mail Address: | 14124 QUEENSIDE ST., ORLANDO, FL 32824 |
| ZIP code: | 32824 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134547110 | 2014-04-07 | 2023-06-16 | 14124 QUEENSIDE ST, ORLANDO, FL, 328244258, US | 14124 QUEENSIDE ST, ORLANDO, FL, 328244258, US | |||||||||||||||||||||||||
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| Phone | +1 407-463-5300 |
| Phone | +1 407-463-5399 |
Authorized person
| Name | MS. YELITZA I RUIZ AHORRIO |
| Role | OWNER/MANAGER/PROVIDER |
| Phone | 4074635300 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA 9529 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111112900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RUIZ AHORRIO, YELITZA I | Agent | 14124 QUEENSIDE ST., ORLANDO, FL 32824 |
| Name | Role | Address |
|---|---|---|
| RUIZ AHORRIO, YELITZA I | Manager | 14124 QUEENSIDE ST., ORLANDO, FL 32824 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000073176 | HORIZONS SPEECH & LANGUAGE THERAPY | ACTIVE | 2023-06-16 | 2028-12-31 | No data | 14124 QUEENSIDE STREET, ORLANDO, FL, 32824 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| Florida Limited Liability | 2023-06-13 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
