| Entity Name: | ADVANCE SPEECH THERAPY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Feb 1998 (27 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Jun 2022 (3 years ago) |
| Document Number: | P98000015407 |
| FEI/EIN Number | 650822408 |
| Address: | 1483 SW BOUGAINVILLEA AVE, PORT ST. LUCIE, FL, 34953, US |
| Mail Address: | 1483 SW BOUGAINVILLEA AVE, PORT ST. LUCIE, FL, 34953, US |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972721439 | 2007-04-23 | 2024-04-26 | 1483 SW BOUGAINVILLEA AVE, PORT SAINT LUCIE, FL, 349537302, US | 1483 SW BOUGAINVILLEA AVE, PORT SAINT LUCIE, FL, 349537302, US | |||||||||||||||||||||
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| Phone | +1 772-336-6928 |
| Fax | 7723366929 |
Authorized person
| Name | MRS. TIFFANY MARIE LUQUE |
| Role | SPEECH-LANGUAGE PATHOLOGIST/PRES. |
| Phone | 7723366928 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 114805100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HIBBERD BLAINE HESQ. | Agent | 612 SE CENTRAL PARKWAY, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| MCCURRY ANITA A | Vice President | 1483 SW BOUGAINVILLEA AVE, PORT ST. LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| MCCURRY ANITA A | Treasurer | 1483 SW BOUGAINVILLEA AVE, PORT ST. LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| LUQUE TIFFANY | President | 1483 SW BOUGAINVILLEA AVE, PORT ST. LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| LUQUE TIFFANY | Secretary | 1483 SW BOUGAINVILLEA AVE, PORT ST. LUCIE, FL, 34953 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000031508 | ADVANCE SPEECH THERAPY SERVICES, INC. | EXPIRED | 2017-03-24 | 2022-12-31 | No data | 962 SW HAMBERLAND AVE, PORT SAINT LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-06-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-06-15 | 612 SE CENTRAL PARKWAY, STUART, FL 34994 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-06-15 | HIBBERD, BLAINE H, ESQ. | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-15 | 1483 SW BOUGAINVILLEA AVE, PORT ST. LUCIE, FL 34953 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-15 | 1483 SW BOUGAINVILLEA AVE, PORT ST. LUCIE, FL 34953 | No data |
| REINSTATEMENT | 2019-10-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2015-10-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2011-07-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-02 |
| Amendment | 2022-06-15 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-09-01 |
| ANNUAL REPORT | 2020-06-11 |
| REINSTATEMENT | 2019-10-13 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
