| Entity Name: | LEESBURG HEALTH & REHAB L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Aug 2001 (23 years ago) |
| Document Number: | L01000013417 |
| FEI/EIN Number | 593726936 |
| Address: | 1401 1st ST N, SUITE 3129, WINTER HAVEN, FL, 33885, US |
| Mail Address: | 1401 1st ST N, SUITE 3129, WINTER HAVEN, FL, 33885, US |
| ZIP code: | 33885 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659496511 | 2007-03-20 | 2008-01-16 | 715 E DIXIE AVE, LEESBURG, FL, 347485926, US | 715 E DIXIE AVE, LEESBURG, FL, 347485926, US | |||||||||||||||||
|
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| Phone | +1 352-728-3020 |
Authorized person
| Name | MR. PHILIP JAMES CASTLEBERG |
| Role | OWNER |
| Phone | 3527283020 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF12910961 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTLEBERG BENJAMIN D | Agent | 1401 1st ST N, WINTER HAVEN, FL, 33885 |
| Name | Role | Address |
|---|---|---|
| CASTLEBERG PHILIP | Member | 1401 1st ST N, WINTER HAVEN, FL, 33885 |
| Name | Role | Address |
|---|---|---|
| CASTLEBERG BENJAMIN | Manager | 141 E. CNTRL AVE STE 300, WINTER HAVEN, FL, 33880 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2018-01-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2014-11-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REINSTATEMENT | 2012-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2011-11-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REINSTATEMENT | 2010-10-04 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
