Entity Name: | SPEECH & LANGUAGE BY ANGELICA CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 06 Feb 2006 (19 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 02 Apr 2014 (11 years ago) |
Document Number: | P06000018046 |
FEI/EIN Number | 204265128 |
Address: | 819 SW 147 AV, PEMBROKE PINES, FL, 33027 |
Mail Address: | 819 SW 147 AV, PEMBROKE PINES, FL, 33027 |
ZIP code: | 33027 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639496375 | 2010-04-20 | 2013-12-11 | 819 SW 147TH AVE, PEMBROKE PINES, FL, 330276127, US | 819 SW 147TH AVE, PEMBROKE PINES, FL, 330276127, US | |||||||||||||||||||||
|
Phone | +1 954-709-5403 |
Fax | 9545891475 |
Authorized person
Name | MRS. ANGELA SHETROMPF |
Role | SPEECH AND LANGUAGE PATHOLOGIST |
Phone | 9547095403 |
Taxonomy
Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 001470600 |
State | FL |
Name | Role | Address |
---|---|---|
SHETROMPF ANGELA M | Agent | 819 SW 147 AVE., PEMBROKE PINES, FL, 33027 |
Name | Role | Address |
---|---|---|
SHETROMPF ANGELA M | President | 819 SW 147 AV, PEMBROKE PINES, FL, 33027 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2014-04-02 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2013-12-02 | 819 SW 147 AV, PEMBROKE PINES, FL 33027 | No data |
CHANGE OF MAILING ADDRESS | 2013-12-02 | 819 SW 147 AV, PEMBROKE PINES, FL 33027 | No data |
REGISTERED AGENT NAME CHANGED | 2013-12-02 | SHETROMPF, ANGELA M | No data |
REGISTERED AGENT ADDRESS CHANGED | 2013-12-02 | 819 SW 147 AVE., PEMBROKE PINES, FL 33027 | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-24 |
ANNUAL REPORT | 2024-02-01 |
ANNUAL REPORT | 2023-01-31 |
ANNUAL REPORT | 2022-01-04 |
ANNUAL REPORT | 2021-02-04 |
ANNUAL REPORT | 2020-01-16 |
ANNUAL REPORT | 2019-01-20 |
ANNUAL REPORT | 2018-01-17 |
ANNUAL REPORT | 2017-01-11 |
ANNUAL REPORT | 2016-01-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State