Entity Name: | TALK EASY SPEECH THERAPY INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 10 Aug 2023 (2 years ago) |
Document Number: | P23000058634 |
FEI/EIN Number | 99-0464250 |
Address: | 315 HAZELWOOD AVE S, LEHIGH ACRES, AL 33936 |
Mail Address: | 315 HAZELWOOD AVE S, LEHIGH ACRES, AL 33936 |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104689470 | 2024-01-31 | 2024-01-31 | 315 HAZELWOOD AVE S, LEHIGH ACRES, FL, 339365803, US | 315 HAZELWOOD AVE S, LEHIGH ACRES, FL, 339365803, US | |||||||||||||||||||
|
Phone | +1 813-516-8053 |
Authorized person
Name | JESUS HERNANDEZ |
Role | OWNER |
Phone | 8135168053 |
Taxonomy
Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 010031600 |
State | FL |
Name | Role | Address |
---|---|---|
HERNANDEZ, JESUS, MANAGER | Agent | 315 HAZELWOOD AVE S, LEHIGH ACRES, FL 33936 |
Name | Role | Address |
---|---|---|
HERNANDEZ, JESUS | President | 315 HAZELWOOD AVE S, LEHIGH ACRES, FL 33936 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-02-11 | 315 HAZELWOOD AVE S, LEHIGH ACRES, AL 33936 | No data |
CHANGE OF MAILING ADDRESS | 2024-02-11 | 315 HAZELWOOD AVE S, LEHIGH ACRES, AL 33936 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-11 |
Domestic Profit | 2023-08-10 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State