| Entity Name: | CHATTER PEDIATRIC THERAPY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Apr 2024 (9 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 23 May 2024 (8 months ago) |
| Document Number: | L24000192947 |
| FEI/EIN Number | 99-2813525 |
| Address: | 11287 NW STATE ROAD 20, BRISTOL, FL 32321 |
| Mail Address: | 11287 NW STATE ROAD 20, BRISTOL, FL 32321 |
| ZIP code: | 32321 |
| County: | Liberty |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194569343 | 2024-06-22 | 2024-06-22 | 11287 NW STATE ROAD 20, BRISTOL, FL, 323213414, US | 11287 NW STATE ROAD 20, BRISTOL, FL, 323213414, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-570-7178 |
Authorized person
| Name | HAMMADAH WAHLQUIST |
| Role | SPEECH-LANGUAGE PATHOLOGIST |
| Phone | 8505707178 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WAHLQUIST, HAMMADAH T | Agent | 11287 NW STATE ROAD 20, BRISTOL, FL 32321 |
| Name | Role | Address |
|---|---|---|
| WAHLQUIST, HAMMADAH T | Authorized Member | 11287 NW STATE ROAD 20, BRISTOL, FL 32321 |
| VAN WAGENEN, ELYSE | Authorized Member | 67 STONE WAY, CRAWFORDVILLE, FL 32327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-05-23 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-05-23 |
| Florida Limited Liability | 2024-04-24 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
