| Entity Name: | PONTE VEDRA SPEECH THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Oct 2024 (3 months ago) |
| Document Number: | L24000459219 |
| Address: | 30 TAVERNIER DRIVE, UNIT B, PONTE VEDRA, FL, 32081, UN |
| Mail Address: | 30 TAVERNIER DRIVE, UNIT B, PONTE VEDRA, FL, 32081, UN |
| ZIP code: | 32081 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902629587 | 2024-11-04 | 2024-11-04 | 30 TAVERNIER DR UNIT B, PONTE VEDRA, FL, 320810677, US | 30 TAVERNIER DR UNIT B, PONTE VEDRA, FL, 320810677, US | |||||||||||||||
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| Phone | +1 904-844-3136 |
| Fax | 9047896295 |
Authorized person
| Name | SONYA MARIE OLSEN |
| Role | CEO |
| Phone | 9048443136 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OLSEN SONYA M | Agent | 171 SUMMER MESA AVE, PONTE VEDRA, FL, 32081 |
| Name | Role | Address |
|---|---|---|
| OLSEN SONYA M | Chief Executive Officer | 171 SUMMER MESA AVE, PONTE VEDRA BEACH, FL, 32081 |
| Name | Role | Address |
|---|---|---|
| YARBROUGH EMMA E | Manager | 171 SUMMER MESA AVE, PONTE VEDRA, FL, 32081 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
