| Entity Name: | MARCIMOUTH SPEECH AND LANGUAGE SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Jan 2008 (17 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 24 Sep 2019 (5 years ago) |
| Document Number: | P08000008004 |
| FEI/EIN Number | 261828970 |
| Mail Address: | 3521 MIRAMONTES CIRCLE, WELLINGTON, FL, 33414, US |
| Address: | 12773 W FOREST HILL BLVD STE 206, WELLINGTON, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871928523 | 2013-09-12 | 2013-09-12 | 12777 FOREST HILL BLVD, SUITE 1503, WELLINGTON, FL, 334144775, US | 12777 FOREST HILL BLVD, SUITE 1503, WELLINGTON, FL, 334144775, US | |||||||||||||||||||||||||
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| Phone | +1 561-790-1864 |
| Fax | 5614293081 |
Authorized person
| Name | MRS. MARCI CHAVES |
| Role | OWNER/SPEECH-LANGUAGE PATHOLOGIST |
| Phone | 5617901864 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA7781 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 891104500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHAVES MARCI | Agent | 12773 W FOREST HILL BLVD STE 206, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| CHAVES MARCI D | President | 12773 W Forest Hill Blvd, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| Chaves Gustavo | Chief Financial Officer | 12773 W Forest Hill Blvd, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-09-24 | 12773 W FOREST HILL BLVD STE 206, WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-11 | 12773 W FOREST HILL BLVD STE 206, WELLINGTON, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-07 | 12773 W FOREST HILL BLVD STE 206, WELLINGTON, FL 33414 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-02-21 |
| Amendment | 2019-09-24 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-02-24 |
| ANNUAL REPORT | 2017-02-06 |
| ANNUAL REPORT | 2016-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
