| Entity Name: | LEESBURG SNF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Apr 2008 (17 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L08000032796 |
| FEI/EIN Number | 262304133 |
| Address: | 1835 N.E. MIAMI GARDENS DRIVE, #368, NORTH MIAMI BEACH, FL, 33179 |
| Mail Address: | 1835 N.E. MIAMI GARDENS DRIVE, #368, NORTH MIAMI BEACH, FL, 33179 |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912179615 | 2008-04-02 | 2008-04-02 | 368 NEW HEMPSTEAD RD, #309, NEW CITY, NY, 109561900, US | 700 N PALMETTO ST, LEESBURG, FL, 347484419, US | |||||||||||||||||||||||
|
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| Phone | +1 352-323-5500 |
| Fax | 3523235509 |
Authorized person
| Name | JACOB KARMEL |
| Role | AUTHORIZED OFFICIAL |
| Phone | 8453711700 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Taxonomy Code | 332BN1400X - Nursing Facility Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BOGOMILSKY TZVI | Managing Member | 1835 N.E. MIAMI GARDENS DRIVE, #368, NORTH MIAMI BEACH, FL, 33179 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08093900161 | NORTH CAMPUS REHABILITATION AND NURSING CENTER | EXPIRED | 2008-04-02 | 2013-12-31 | No data | 1835 NE MIAMI GARDENS DRIVE #368, NORTH MIAMI BEACH, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-27 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-27 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-18 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-15 |
| ANNUAL REPORT | 2012-04-02 |
| ANNUAL REPORT | 2011-04-05 |
| ANNUAL REPORT | 2010-01-25 |
| ANNUAL REPORT | 2009-01-27 |
| Florida Limited Liability | 2008-04-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
