Entity Name: | TOM K LEONARD MD PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 30 Dec 2002 (22 years ago) |
Document Number: | P02000135024 |
FEI/EIN Number | 320050943 |
Address: | 9938 SW 52nd Rd, Gainesville, FL, 32608, US |
Mail Address: | 9938 SW 52nd Rd, Gainesville, FL, 32608, US |
ZIP code: | 32608 |
County: | Alachua |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962897066 | 2015-04-06 | 2015-05-11 | 3665 EMBASSY CIR, PALM HARBOR, FL, 346851017, US | 404 S CHILDS ST, LEESBURG, FL, 347485958, US | |||||||||||||||||||
|
Phone | +1 727-501-4242 |
Phone | +1 352-323-3232 |
Authorized person
Name | TOM K LEONARD |
Role | PHYSICIAN |
Phone | 7275014242 |
Taxonomy
Taxonomy Code | 207P00000X - Emergency Medicine Physician |
License Number | ME 73798 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LEONARD THOMAS K | Agent | 9924 SW 52nd Rd, Gainesville, FL, 32608 |
Name | Role | Address |
---|---|---|
LEONARD THOMAS K | President | 9924 SW 52nd Rd, Gainesville, FL, 32608 |
Name | Role | Address |
---|---|---|
LEONARD THOMAS K | Secretary | 9924 SW 52nd Rd, Gainesville, FL, 32608 |
Name | Role | Address |
---|---|---|
LEONARD THOMAS K | Treasurer | 9924 SW 52nd Rd, Gainesville, FL, 32608 |
Name | Role | Address |
---|---|---|
LEONARD THOMAS K | Director | 9924 SW 52nd Rd, Gainesville, FL, 32608 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-01-21 | 9938 SW 52nd Rd, Gainesville, FL 32608 | No data |
CHANGE OF MAILING ADDRESS | 2024-01-21 | 9938 SW 52nd Rd, Gainesville, FL 32608 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-03-02 | 9924 SW 52nd Rd, Gainesville, FL 32608 | No data |
REGISTERED AGENT NAME CHANGED | 2004-07-26 | LEONARD, THOMAS KMD | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-21 |
ANNUAL REPORT | 2023-01-30 |
ANNUAL REPORT | 2022-02-03 |
ANNUAL REPORT | 2021-01-27 |
ANNUAL REPORT | 2020-02-08 |
ANNUAL REPORT | 2019-02-09 |
ANNUAL REPORT | 2018-03-02 |
ANNUAL REPORT | 2017-02-10 |
ANNUAL REPORT | 2016-03-30 |
ANNUAL REPORT | 2015-01-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State