| Entity Name: | LEIGH S. ROSENBERG, PSY.D., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Mar 2017 (8 years ago) |
| Document Number: | L17000053293 |
| FEI/EIN Number | 82-0810192 |
| Address: | 2973 West SR 434, Longwood, FL, 32779, US |
| Mail Address: | 2973 West SR 434, Longwood, FL, 32779, US |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093223265 | 2018-01-22 | 2018-01-22 | 2973 W SR 434 STE 400, LONGWOOD, FL, 327794455, US | 2973 W SR 434 STE 400, LONGWOOD, FL, 327794455, US | |||||||||||||||||||
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| Phone | +1 407-362-5930 |
| Fax | 4073625930 |
Authorized person
| Name | LEIGH SCOTT ROSENBERG |
| Role | PRESIDENT |
| Phone | 4073625930 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY0003608 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROSENBERG LEIGH S | Agent | 2973 West SR 434, Longwood, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| ROSENBERG LEIGH S | Manager | 2973 West SR 434, Longwood, FL, 32779 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-08 | 2973 West SR 434, Suite 400, Longwood, FL 32779 | No data |
| CHANGE OF MAILING ADDRESS | 2018-07-08 | 2973 West SR 434, Suite 400, Longwood, FL 32779 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-07-08 | 2973 West SR 434, Suite 400, Longwood, FL 32779 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-07-08 |
| Florida Limited Liability | 2017-03-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
