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MINNEOLA SPEECH AND LANGUAGE THERAPY, LLC - Florida Company Profile

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Company Details

Entity Name: MINNEOLA SPEECH AND LANGUAGE THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Jan 2025 (7 months ago)
Document Number: L25000028068
FEI/EIN Number 332650588
Address: 2409 RIVIERA LANE, MINNEOLA, FL, 34715, US
Mail Address: 2409 RIVIERA LANE, MINNEOLA, FL, 34715, US
ZIP code: 34715
City: Clermont
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HAYNES LAURA Manager 2409 RIVIERA LANE, MINNEOLA, FL, 34715
COSTELLO KENNETH B Agent 1635 EAST HIGHWAY 50, CLERMONT, FL, 34711

National Provider Identifier

NPI Number:
1447050687
Certification Date:
2025-03-17

Authorized Person:

Name:
LAURA HAYNES
Role:
SPEECH LANGUAGE PATHOLOGIST
Phone:

Taxonomy:

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

Contacts:

Documents

Name Date
Florida Limited Liability 2025-01-15

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Date of last update: 03 Aug 2025

Sources: Florida Department of State