| Entity Name: | PONTE VEDRA SPEECH, LANGUAGE, AND LEARNING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PONTE VEDRA SPEECH, LANGUAGE, AND LEARNING, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 19 Jun 2023 (2 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 05 Jul 2023 (2 years ago) |
| Document Number: | L23000293065 |
| FEI/EIN Number |
93-2289529
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 171 SUMMER MESA AVE., PONTE VEDRA, FL, 32081 |
| Address: | 30 Tavernier Drive, Unit B, Ponte Vedra, FL, 32081, US |
| ZIP code: | 32081 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770262990 | 2023-07-14 | 2024-03-12 | 171 SUMMER MESA AVE, PONTE VEDRA, FL, 320816143, US | 30 TAVERNIER DR UNIT B, PONTE VEDRA, FL, 320810677, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-844-3136 |
| Phone | +1 904-404-2345 |
| Fax | 9047896295 |
Authorized person
| Name | SONYA MARIE OLSEN |
| Role | OWNER/MANAGER/LEAD THERAPIST |
| Phone | 9048443136 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 119250400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OLSEN SONYA | Manager | 171 SUMMER MESA AVE., PONTE VEDRA, FL, 32081 |
| OLSEN SONYA | Agent | 171 SUMMER MESA AVE., PONTE VEDRA, FL, 32081 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-28 | 30 Tavernier Drive, Unit B, Ponte Vedra, FL 32081 | - |
| LC NAME CHANGE | 2023-07-05 | PONTE VEDRA SPEECH, LANGUAGE, AND LEARNING, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| LC Name Change | 2023-07-05 |
| Florida Limited Liability | 2023-06-19 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
