| Entity Name: | KRISTINA RAIRIE'S SPEECH LANGUAGE THERAPY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Oct 2002 (22 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P02000115613 |
| FEI/EIN Number | 820569913 |
| Address: | 5 OKLAHOMA ST., BEVERLY HILLS, FL, 34465 |
| Mail Address: | 5 OKLAHOMA ST., BEVERLY HILLS, FL, 34465 |
| ZIP code: | 34465 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508024019 | 2008-05-30 | 2008-05-30 | 1651 W GULF TO LAKE HWY, LECANTO, FL, 344617722, US | 1651 W GULF TO LAKE HWY, LECANTO, FL, 344617722, US | |||||||||||||||||||||||||
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| Phone | +1 352-746-9233 |
| Fax | 3527469323 |
Authorized person
| Name | MRS. KRISTINA LINNEA GUSTAFSON-RAIRIE |
| Role | PRESIDENT |
| Phone | 3527469233 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA5386 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 889362400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAIRIE RODGER W | Agent | 5 OKLAHOMA ST., BEVERLY HILLS, FL, 34465 |
| Name | Role | Address |
|---|---|---|
| RAIRIE KRISTINA | President | 5 OKLAHOMA ST., BEVERLY HILLS, FL, 34465 |
| Name | Role | Address |
|---|---|---|
| GUSTAFSON KAREN | Vice President | 8 OKLAHOMA ST., BEVERLY HILLS, FL, 34465 |
| Name | Role | Address |
|---|---|---|
| RAIRIE RODGER | Treasurer | 5 OKLAHOMA ST, BEVERLY HILLS, FL, 34465 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-30 | 5 OKLAHOMA ST., BEVERLY HILLS, FL 34465 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-30 | 5 OKLAHOMA ST., BEVERLY HILLS, FL 34465 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-30 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-07-14 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-05-02 |
| ANNUAL REPORT | 2005-05-02 |
| ANNUAL REPORT | 2004-05-04 |
| ANNUAL REPORT | 2003-04-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
