| Entity Name: | LEESBURG PAIN & REHAB INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 04 Apr 2011 (14 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P11000033102 |
| FEI/EIN Number | 45-1620588 |
| Address: | 32749 RADIO ROAD, LEESBURG, FL 34788 |
| Mail Address: | 32749 RADIO ROAD, LEESBURG, FL 34788 |
| ZIP code: | 34788 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720378540 | 2011-04-13 | 2011-04-13 | 32749 RADIO RD, LEESBURG, FL, 347883901, US | 32749 RADIO RD, LEESBURG, FL, 347883901, US | |||||||||||||||||
|
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| Phone | +1 305-608-9248 |
Authorized person
| Name | TODD SUSSMAN |
| Role | OWNER |
| Phone | 3056089248 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9826 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUSSMAN, TODD | Agent | 1670 ISLAND WAY, FORT LAUDERDALE, FL 33326 |
| Name | Role | Address |
|---|---|---|
| SUSSMAN, TODD | Director | 1670 ISLAND WAY, FORT LAUDERDALE, FL 33326 |
| MORREALE, JOSEPH | Director | 32749 RADIO ROAD, LEESBURG, FL 34788 |
| FINE, JAMIE | Director | 1670 ISLAND WAY, FORT LAUDERDALE, FL 33326 |
| FINE, TODD | Director | 1670 ISLAND WAY, FORT LAUDERDALE, FL 33326 |
| Name | Role | Address |
|---|---|---|
| SUSSMAN, TODD | President | 1670 ISLAND WAY, FORT LAUDERDALE, FL 33326 |
| Name | Role | Address |
|---|---|---|
| MORREALE, JOSEPH | Vice President | 32749 RADIO ROAD, LEESBURG, FL 34788 |
| Name | Role | Address |
|---|---|---|
| FINE, JAMIE | Secretary | 1670 ISLAND WAY, FORT LAUDERDALE, FL 33326 |
| Name | Role | Address |
|---|---|---|
| FINE, TODD | Treasurer | 1670 ISLAND WAY, FORT LAUDERDALE, FL 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-03-05 |
| Domestic Profit | 2011-04-04 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
