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FULL BLOOM SPEECH THERAPY LLC

Company Details

Entity Name: FULL BLOOM SPEECH THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Aug 2023 (2 years ago)
Document Number: L23000367855
FEI/EIN Number 93-2835713
Address: 905 CAMELLIA AVE, WINTER PARK, FL, 32789
Mail Address: 905 CAMELLIA AVE, WINTER PARK, FL, 32789
ZIP code: 32789
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396517140 2023-10-25 2023-10-25 905 CAMELLIA AVE, WINTER PARK, FL, 327895625, US 905 CAMELLIA AVE, WINTER PARK, FL, 327895625, US

Contacts

Phone +1 407-506-2625

Authorized person

Name KRISTEN MORRISON
Role OWNER/SPEECH-LANGUAGE PATHOLOGIST
Phone 4075062625

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes

Agent

Name Role Address
MORRISON KRISTEN Agent 905 CAMELLIA AVE, WINTER PARK, FL, 32789

Manager

Name Role Address
MORRISON KRISTEN Manager 905 CAMELLIA AVE, WINTER PARK, FL, 32789

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000128898 FULL BLOOM SPEECH THERAPY ACTIVE 2023-10-18 2028-12-31 No data 905 CAMELLIA AVENUE, WINTER PARK, FL, 32789

Documents

Name Date
ANNUAL REPORT 2024-04-10
Florida Limited Liability 2023-08-04

Date of last update: 02 Feb 2025

Sources: Florida Department of State