| Entity Name: | ABBIE V. WOODARD, MS CCC-SLP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Mar 2009 (16 years ago) |
| Document Number: | P09000021551 |
| FEI/EIN Number | 264384249 |
| Address: | 15 N Stewart St, Quincy, FL, 32351, US |
| Mail Address: | 3304 NORTH SHORE CIRCLE, TALLAHASSEE, FL, 32312, US |
| ZIP code: | 32351 |
| County: | Gadsden |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659502797 | 2009-08-06 | 2018-08-08 | 3304 NORTHSHORE CIR, TALLAHASSEE, FL, 323121304, US | 15 N STEWART ST, QUINCY, FL, 32351, US | |||||||||||||||||||||||
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| Phone | +1 850-228-6027 |
| Fax | 8508072970 |
| Phone | +1 850-875-2180 |
Authorized person
| Name | ABBIE VICTORIA WOODARD |
| Role | PRESIDENT |
| Phone | 8502286027 |
Taxonomy
| Taxonomy Code | 225400000X - Rehabilitation Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004565900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Hurst ABBIE V | Agent | 3304 NORTH SHORE CIRCLE, TALLAHASSEE, FL, 32312 |
| Name | Role | Address |
|---|---|---|
| Hurst ABBIE V | President | 3304 NORTH SHORE CIRCLE, TALLAHASSEE, FL, 32312 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000075614 | NORTH FLORIDA THERAPY SERVICES | EXPIRED | 2019-07-11 | 2024-12-31 | No data | 3304 NORTHSHORE CIR, TALLAHASSEE, FL, 32312 |
| G13000119630 | AFFORDABLE TREASURES THRIFT STORE | EXPIRED | 2013-12-07 | 2018-12-31 | No data | 104 E. WASHINGTON ST, STE 1A, QUINCY, FL, 32351 |
| G13000071707 | NORTH FLORIDA THERAPY SERVICES | EXPIRED | 2013-07-17 | 2018-12-31 | No data | 104 E. WASHINGTON ST, SUITE 1A, QUINCY, FL, 32351 |
| G12000034922 | KID KONNECTIONS | EXPIRED | 2012-04-11 | 2017-12-31 | No data | 833 SIR RICHARD RD, TALLAHASSEE, FL, 32310 |
| G11000041829 | BEAUTIFUL FACES PUBLISHING | EXPIRED | 2011-04-29 | 2016-12-31 | No data | 833 SIR RICHARD RD, TALLAHASSEE, FL, 32310 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-08 | Hurst, ABBIE V | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-02 | 15 N Stewart St, Quincy, FL 32351 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-09 | 15 N Stewart St, Quincy, FL 32351 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-09 | 3304 NORTH SHORE CIRCLE, TALLAHASSEE, FL 32312 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
