| Entity Name: | WEST ORANGE SPEECH PATHOLOGIST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Aug 1994 (31 years ago) |
| Document Number: | P94000058535 |
| FEI/EIN Number | 59-3257350 |
| Address: | 2740 Springfield Dr., STE 2E, Ocoee, FL 34761 |
| Mail Address: | P. O. Box 682321, ORLANDO, FL 32868 |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043699911 | 2015-05-26 | 2015-05-26 | 6388 SILVER STAR RD STE 2E, ORLANDO, FL, 328183235, US | 6388 SILVER STAR RD STE 2E, ORLANDO, FL, 328183235, US | |||||||||||||||||
|
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| Phone | +1 407-298-5300 |
Authorized person
| Name | MRS. VERONICA BULLARD |
| Role | OCCUPATIONAL THERAPIST ASSISTANT |
| Phone | 4072856256 |
Taxonomy
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| License Number | OTA11296 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TATUM-RILEY, LINDA | Agent | 2740 Springfield Dr., STE 2E, Ocoee, FL 34761 |
| Name | Role | Address |
|---|---|---|
| TATUM-RILEY, LINDA | President | 2740 SPRINGFIELD DR, OCOEE, FL 34761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 2740 Springfield Dr., STE 2E, Ocoee, FL 34761 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 2740 Springfield Dr., STE 2E, Ocoee, FL 34761 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 2740 Springfield Dr., STE 2E, Ocoee, FL 34761 | No data |
| REGISTERED AGENT NAME CHANGED | 1998-07-15 | TATUM-RILEY, LINDA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-02 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
