| Entity Name: | PREMIER DYSPHAGIA MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jun 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Apr 2019 (6 years ago) |
| Document Number: | P03000067558 |
| FEI/EIN Number | 200110391 |
| Address: | 218 RINGWOOD DRIVE, WINTER SPRINGS, FL, 32708 |
| Mail Address: | 218 RINGWOOD DRIVE, WINTER SPRINGS, FL, 32708 |
| ZIP code: | 32708 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104370220 | 2016-08-05 | 2016-08-05 | 218 RINGWOOD DR, WINTER SPRINGS, FL, 327084945, US | 218 RINGWOOD DR, WINTER SPRINGS, FL, 327084945, US | |||||||||||||||||||||||||||
|
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| Phone | +1 407-695-8585 |
| Fax | 4076958585 |
Authorized person
| Name | MRS. KELLY TEASE |
| Role | S,T |
| Phone | 4076958585 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA4443 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA2695 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TEASE KELLY S | Agent | 218 RINGWOOD DR, WINTER SPRINGS, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| TEASE KELLY | Vice President | 218 RINGWOOD DRIVE, WINTER SPRINGS, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| TEASE KELLY | Secretary | 218 RINGWOOD DRIVE, WINTER SPRINGS, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| TEASE KELLY | Treasurer | 218 RINGWOOD DRIVE, WINTER SPRINGS, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| TEASE GRAEME T | President | 218 RINGWOOD DRIVE, WINTER SPRINGS, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| TEASE GRAEME T | Director | 218 RINGWOOD DRIVE, WINTER SPRINGS, FL, 32708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-04-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-29 | TEASE, KELLY S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2010-05-24 | PREMIER DYSPHAGIA MANAGEMENT, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-03-07 | 218 RINGWOOD DR, WINTER SPRINGS, FL 32708 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-27 |
| REINSTATEMENT | 2019-04-29 |
| ANNUAL REPORT | 2017-03-23 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-02-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
