| Entity Name: | SOUTH FLORIDA SPEECH AND LANGUAGE SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 May 2004 (21 years ago) |
| Date of dissolution: | 27 Mar 2012 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Mar 2012 (13 years ago) |
| Document Number: | P04000081469 |
| FEI/EIN Number | 201169423 |
| Address: | 504 SW 20TH STREET, BOYNTON BEACH, FL, 33426 |
| Mail Address: | 5365 HUNTERS CREEK TRAIL, FRISCO, TX, 75034 |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407084825 | 2009-06-24 | 2009-06-24 | 5365 HUNTERS CREEK TRL, FRISCO, TX, 750341713, US | 504 SW 20TH ST, BOYNTON BEACH, FL, 334264621, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 561-502-8487 |
| Fax | 5616429397 |
Authorized person
| Name | MRS. KARI L DEWEESE |
| Role | PRESIDENT/OWNER |
| Phone | 5615028487 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA 6981 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 888150200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 888288600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEWEESE KARI L | Agent | 504 SW 20TH STREET, BOYNTON BEACH, FL, 33426 |
| Name | Role | Address |
|---|---|---|
| KARI DEWEESE L | President | 504 SW 20TH STREET, BOYNTON BEACH, FL, 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-03-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-23 | 504 SW 20TH STREET, BOYNTON BEACH, FL 33426 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-23 | 504 SW 20TH STREET, BOYNTON BEACH, FL 33426 | No data |
| CHANGE OF MAILING ADDRESS | 2008-03-30 | 504 SW 20TH STREET, BOYNTON BEACH, FL 33426 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2012-03-27 |
| ANNUAL REPORT | 2011-02-17 |
| ANNUAL REPORT | 2010-01-30 |
| ANNUAL REPORT | 2009-02-23 |
| ANNUAL REPORT | 2008-03-30 |
| ANNUAL REPORT | 2007-01-21 |
| ANNUAL REPORT | 2006-01-21 |
| ANNUAL REPORT | 2005-03-02 |
| Domestic Profit | 2004-05-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
