| Entity Name: | SLP BEE PEEPS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 May 2019 (6 years ago) |
| Document Number: | P19000045005 |
| FEI/EIN Number | 84-1900085 |
| Address: | 17670 NW 78th Ave, HIALEAH, FL, 33015, US |
| Mail Address: | 17670 NW 78th Ave, HIALEAH, FL, 33015, US |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952957276 | 2019-08-13 | 2023-01-30 | 18822 NW 80TH CT, HIALEAH, FL, 330155228, US | 18822 NW 80TH CT, HIALEAH, FL, 330155228, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-904-0285 |
| Fax | 7863387784 |
Authorized person
| Name | JENNIFER TRAVIESO |
| Role | SPEECH LANGUAGE PATHOLOGIST |
| Phone | 3059040285 |
Taxonomy
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 114956400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TRAVIESO JENNIFER | Agent | 17670 NW 78th Ave, HIALEAH, FL, 33015 |
| Name | Role | Address |
|---|---|---|
| TRAVIESO JENNIFER | President | 17670 NW 78th Ave, HIALEAH, FL, 33015 |
| Ponce Jessica | President | 17670 NW 78th Ave, HIALEAH, FL, 33015 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000083749 | MY THERAPY SPOT | ACTIVE | 2024-07-12 | 2029-12-31 | No data | 17670 NW 78TH AVENUE, SUITE 206, HIALEAH, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-15 | 17670 NW 78th Ave, 206, HIALEAH, FL 33015 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-15 | 17670 NW 78th Ave, 206, HIALEAH, FL 33015 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-15 | 17670 NW 78th Ave, 206, HIALEAH, FL 33015 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-15 |
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-06-04 |
| Domestic Profit | 2019-05-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
