| Entity Name: | CHIROPRACTICUSA OF LEESBURG, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 May 2011 (14 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P11000050003 |
| Address: | 2500 CITRUS BOULEVARD, LEESBURG, FL, 34748 |
| Mail Address: | 2500 CITRUS BOULEVARD, LEESBURG, FL, 34748 |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649558297 | 2011-08-01 | 2011-08-01 | 300 NW 70TH AVE, SUITE 100, PLANTATION, FL, 333172384, US | 945 N 14TH ST, LEESBURG, FL, 347483838, US | |||||||||||||||||||
|
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| Phone | +1 954-581-1999 |
| Fax | 9545813970 |
Authorized person
| Name | DR. RENNY MITCHELL EDELSON |
| Role | CHIROPRACTOR/OWNER |
| Phone | 9545811999 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH5257 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EDELSON RENNY M | Agent | 2372 SW 132ND WAY, DAVIE, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| EDELSON RENNY M | President | 2372 SW 132ND WAY, DAVIE, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| EDELSON MARGARET | Secretary | 2372 SW 132ND WAY, DAVIE, FL, 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2011-05-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
