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SPEECH & LANGUAGE BY ANGELICA CORP

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SHETROMPF ANGELA M Agent 819 SW 147 AVE., PEMBROKE PINES, FL, 33027

President

Name Role Address
SHETROMPF ANGELA M President 819 SW 147 AV, PEMBROKE PINES, FL, 33027

Events

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

Documents

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