| Entity Name: | SPEECH PATHOLOGY AND EDUCATIONAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Nov 1991 (33 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 22 Oct 2004 (20 years ago) |
| Document Number: | S96377 |
| FEI/EIN Number | 65-0303523 |
| Address: | 8590 SW 40TH STREET, MIAMI, FL 33155 |
| Mail Address: | 8590 SW 40TH STREET, MIAMI, FL 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1720135718 | 2007-01-04 | 2008-06-27 | 8510 SW 8TH ST, MIAMI, FL, 331444053, US | 8510 SW 8TH ST, MIAMI, FL, 331444053, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-266-5353 |
| Fax | 3052666550 |
Authorized person
| Name | MS. MILDRED SUAREZ |
| Role | DIRECTOR |
| Phone | 3052665353 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA 1502 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AVMED PROVIDER NUMBER |
| Number | 102170 |
| State | FL |
| Issuer | NHP PROVIDER NUMBER |
| Number | 38616 |
| State | FL |
| Issuer | SOUTH CARE PPO |
| Number | 4279 |
| State | FL |
| Issuer | AMERIGROUP PROVIDER NO. |
| Number | 237488 |
| State | FL |
| Issuer | MEDICAID |
| Number | 810891900 |
| State | FL |
| Issuer | UHC PROVIDER NUMBER |
| Number | 4602011 |
| State | FL |
| Issuer | MEDICAID |
| Number | 880762100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 880762101 |
| State | FL |
| Issuer | BCBS BILLING NUMBER |
| Number | S0638 |
| State | FL |
| Issuer | ACN GROUP |
| Number | 683277 |
| State | FL |
| Issuer | CIGNA HEALTH CARE |
| Number | 2692772001 |
| State | FL |
| Issuer | MEDICAID |
| Number | 886038600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SUAREZ, MILDRED M | Agent | 8590 SW 40 STREET, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| SUAREZ, MILDRED M | President | 8590 SW 40TH STREET, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| SUAREZ, MILDRED M | Secretary | 8590 SW 40TH STREET, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| SUAREZ, MILDRED M | Director | 8590 SW 40TH STREET, MIAMI, FL 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 8590 SW 40 STREET, MIAMI, FL 33155 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-08-24 | 8590 SW 40TH STREET, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2018-08-24 | 8590 SW 40TH STREET, MIAMI, FL 33155 | No data |
| CANCEL ADM DISS/REV | 2004-10-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2002-04-23 | SUAREZ, MILDRED M | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7699508308 | 2021-01-28 | 0455 | PPS | 8590 Bird Rd, Miami, FL, 33155-3214 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5474747303 | 2020-04-30 | 0455 | PPP | 8590 SW 40 Street, Miami, FL, 33155 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
