| Entity Name: | MARK LEEDS, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MARK LEEDS, D.O., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: | 06 Oct 2005 (20 years ago) |
| Document Number: | P05000137215 |
| FEI/EIN Number |
204103033
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3290 NE 33RD ST, FORT LAUDERDALE, FL, 33308, US |
| Mail Address: | 3290 NE 33RD ST, FORT LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538174941 | 2006-07-31 | 2014-08-08 | 304 INDIAN TRACE #528, WESTON, FL, 33326, US | 304 INDIAN TRACE #528, WESTON, FL, 33326, US | |||||||||||||||||||||||||
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| Phone | +1 954-776-6226 |
| Fax | 9546928120 |
Authorized person
| Name | DR. MARK JEFFREY LEEDS |
| Role | PRESIDENT |
| Phone | 9547766226 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS7559 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 274554200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEEDS MARK JDr. | President | 3290 NE 33RD ST, FORT LAUDERDALE, FL, 33308 |
| LEEDS MARK | Agent | 3290 NE 33RD ST, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-03 | 3290 NE 33RD ST, FORT LAUDERDALE, FL 33308 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-03 | 3290 NE 33RD ST, FORT LAUDERDALE, FL 33308 | - |
| REGISTERED AGENT NAME CHANGED | 2024-02-03 | LEEDS, MARK | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-03 | 3290 NE 33RD ST, FORT LAUDERDALE, FL 33308 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-01-22 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
