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LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES, LLC - Florida Company Profile

Company Details

Entity Name: LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 31 Dec 2008 (16 years ago)
Document Number: L09000000525
FEI/EIN Number 263978727

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 600 EAST DIXIE AVENUE, LEESBURG, FL, 34748, US
Mail Address: 600 EAST DIXIE AVENUE, LEESBURG, FL, 34748, US
ZIP code: 34748
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BRAUN PHILIP J Agent 715 WEST OAK TERRACE DR, LEESBURG, FL, 34748
LEESBURG REGIONAL MEDICAL CENTER, INC. Managing Member -

National Provider Identifier

NPI Number:
1104063114
Certification Date:
2024-11-21

Authorized Person:

Name:
MRS. HEATHER LONG
Role:
PRESIDENT, CEO
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3523235039

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000054588 UF HEALTH EMERGENCY/URGENT CARE EUSTIS MT DORA ACTIVE 2025-04-24 2030-12-31 - 600 E DIXIE AVENUE, LEESBURG, FL, 34748

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2014-03-31 715 WEST OAK TERRACE DR, LEESBURG, FL 34748 -

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-02-21
ANNUAL REPORT 2021-03-09
ANNUAL REPORT 2020-03-02
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-03-14
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-04-01

Date of last update: 02 Jun 2025

Sources: Florida Department of State