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RISE WITH PRIDE SPEECH-LANGUAGE PATHOLOGY AND RELATED SERVICES LLC

Company Details

Entity Name: RISE WITH PRIDE SPEECH-LANGUAGE PATHOLOGY AND RELATED SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 08 Dec 2023 (a year ago)
Document Number: L23000545049
FEI/EIN Number 93-4800883
Address: 610 NORTH 72ND AVE, HOLLYWOOD, FL 33024
Mail Address: 610 NORTH 72ND AVE, HOLLYWOOD, FL 33024
ZIP code: 33024
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316715550 2023-12-18 2024-01-02 610 N 72ND AVE APT 316, HOLLYWOOD, FL, 330247114, US 610 N 72ND AVE APT 316, HOLLYWOOD, FL, 330247114, US

Contacts

Phone +1 786-370-2160

Authorized person

Name DAVID LOPEZ
Role SPEECH-LANGUAGE PATHOLOGIST
Phone 7863702160

Taxonomy

Taxonomy Code 261QH0700X - Hearing and Speech Clinic/Center
Is Primary Yes

Agent

Name Role Address
LOPEZ, DAVID Agent 610 NORTH 72ND AVE, HOLLYWOOD, FL 33024

Authorized Person

Name Role Address
LOPEZ, DAVID Authorized Person 610 NORTH 72ND AVENUE, HOLLYWOOD, FL 33024

Documents

Name Date
ANNUAL REPORT 2024-02-27
Florida Limited Liability 2023-12-08

Date of last update: 09 Feb 2025

Sources: Florida Department of State