| Entity Name: | LEAPS & BOUNDS PEDIATRIC THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 May 2003 (22 years ago) |
| Document Number: | P03000058526 |
| FEI/EIN Number | 06-1695268 |
| Address: | 1202 SW17th Street, SUITE 201-174, OCALA, FL 34471 |
| Mail Address: | 1202 SW 17th Street, SUITE 201-174, OCALA, FL 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326161282 | 2007-04-07 | 2020-08-22 | 3301 SW 34TH CIR, SUITE 202, OCALA, FL, 344746621, US | 3301 SW 34TH CIR, SUITE 202, OCALA, FL, 344746621, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 352-237-2292 |
| Fax | 3522372236 |
Authorized person
| Name | MRS. JESSICA LESYK LABAGH |
| Role | CO-OWNER |
| Phone | 3522372292 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Y908A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| O'NEAL, JENNIFER B | Agent | 1915 SE 11TH STREET, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| O'NEAL, JENNIFER | President | 1915 SE 11TH STREET, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| LABAGH, JESSICA L | Secretary | 1420 SE 20TH AVENUE, OCALA, FL 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-27 | 1202 SW17th Street, SUITE 201-174, OCALA, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-27 | 1202 SW17th Street, SUITE 201-174, OCALA, FL 34471 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-30 | 1915 SE 11TH STREET, OCALA, FL 34471 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-05-22 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
