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LEAF MEDICAL GROUP LLC - Florida Company Profile

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Company Details

Entity Name: LEAF MEDICAL GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LEAF MEDICAL GROUP 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: 02 May 2022 (3 years ago)
Document Number: L22000207798
FEI/EIN Number 88-2136759

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

Address: 450 W STATE RD. 434, 2030, LONGWOOD, FL, 32750, UN
Mail Address: 450 W STATE RD. 434, 2030, LONGWOOD, FL, 32750, UN
ZIP code: 32750
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
AHMAR WASIM DR Chief Executive Officer 450 W STATE RD. 434, LONGWOOD, FL, 32750
Moreno Lissette Admi 450 West State Road 434, Suite 2030, Longwood, FL, 32750
Moreno Lissette Agent 450 W STATE RD. 434, LONGWOOD, FL, 32750

National Provider Identifier

NPI Number:
1073240016
Certification Date:
2022-08-01

Authorized Person:

Name:
ANDY JORDAN
Role:
CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000157700 LEAF CHIROPRACTIC LONGWOOD ACTIVE 2022-12-21 2027-12-31 - 450 W STATE RD. 434, SUITE 2030, LONGWOOD, FL, 32750

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-07 Moreno, Lissette -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-10
Florida Limited Liability 2022-05-02

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Date of last update: 03 Jun 2025

Sources: Florida Department of State