| Entity Name: | LEESBURG REGIONAL AMBULATORY SURGERY CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Aug 1985 (39 years ago) |
| Document Number: | H70602 |
| FEI/EIN Number | 592568357 |
| Address: | 600 E. DIXIE AVENUE, LEESBURG, FL, 34748 |
| Mail Address: | 600 E. DIXIE AVENUE, LEESBURG, FL, 34748 |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| SAYLOR, BRUCE A., ESQ. | Agent | 907 WEBSTER ST., LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| BOWERSOX, WILLIAM P. | Chairman | 505 W. GIBSON STREET, LEESBURG, FL |
| Name | Role | Address |
|---|---|---|
| BOWERSOX, WILLIAM P. | Director | 505 W. GIBSON STREET, LEESBURG, FL |
| BRIDGES, CLIFTON L. | Director | 601 E. DIXIE PLZA 901, LEESBURG, FL |
| KILEY, JUDITH E. | Director | 38829 BERCHFIELD RD., LADY LAKE, FL |
| ENTORF, RICHARD C. | Director | 1648 LOVES POINT DR., LEESBURG, FL |
| SHAMI, FOUAD M.D. | Director | 616 N. PALMETTO ST., LEESBURG, FL |
| RATH, ROGER | Director | 601 E. DIXIE AVE PLZ 201, LEESBURG, FL |
| Name | Role | Address |
|---|---|---|
| KILEY, JUDITH E. | Vice Chairman | 38829 BERCHFIELD RD., LADY LAKE, FL |
| Name | Role | Address |
|---|---|---|
| ENTORF, RICHARD C. | Secretary | 1648 LOVES POINT DR., LEESBURG, FL |
| Name | Role | Address |
|---|---|---|
| ENTORF, RICHARD C. | Treasurer | 1648 LOVES POINT DR., LEESBURG, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 1992-06-25 | No data | CONVERTING TO: N49961 |
| AMENDMENT | 1988-07-28 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 1987-02-03 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
