| Entity Name: | LEGGETT MEDICAL GROUP INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Jan 2004 (21 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 30 Sep 2004 (20 years ago) |
| Document Number: | P04000003395 |
| FEI/EIN Number | 830381126 |
| Address: | 651 SE 41ST AVE, TRENTON, FL, 32693, US |
| Mail Address: | 651 SE 41ST AVE, TRENTON, FL, 32693, US |
| ZIP code: | 32693 |
| County: | Gilchrist |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659449916 | 2006-12-02 | 2023-01-05 | 651 SE 41ST AVE, TRENTON, FL, 326935003, US | 3896 EASTON ST, SARASOTA, FL, 342382601, US | |||||||||||||||||||||||
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| Phone | +1 941-685-8914 |
| Phone | +1 941-365-2434 |
Authorized person
| Name | DAVID LEGGETT |
| Role | PRACTICE MANAGER |
| Phone | 9416858914 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LEGGETT DAVID A | Agent | 651 SE 41ST AVE, TRENTON, FL, 32693 |
| Name | Role | Address |
|---|---|---|
| LEGGETT DAVID A | President | 651 SE 41ST AVE, TRENTON, FL, 32693 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-18 | 651 SE 41ST AVE, TRENTON, FL 32693 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-18 | 651 SE 41ST AVE, TRENTON, FL 32693 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-18 | 651 SE 41ST AVE, TRENTON, FL 32693 | No data |
| NAME CHANGE AMENDMENT | 2004-09-30 | LEGGETT MEDICAL GROUP INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-30 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-04-14 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
