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LIDEYSA PATIENT CARE, INC.

Company Details

Entity Name: LIDEYSA PATIENT CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 13 Mar 2012 (13 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: P12000025061
Address: 10950 GUILFORD ROAD, CLERMONT, FL 34715
Mail Address: 10950 GUILFORD ROAD, CLERMONT, FL 34715
ZIP code: 34715
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750711768 2013-11-13 2013-11-13 10950 GUILFORD RD, MINNEOLA, FL, 347159087, US 10950 GUILFORD RD, MINNEOLA, FL, 347159087, US

Contacts

Phone +1 352-321-1880

Authorized person

Name MS. LIDEYSA CALLEJAS
Role OWNER
Phone 3523211880

Taxonomy

Taxonomy Code 311ZA0620X - Adult Care Home Facility
License Number 6906577
State FL
Is Primary Yes

Agent

Name Role Address
OBRIG, ELWOOD M Agent 635 W. HIGHWAY 50, SUITE A-1, CLERMONT, FL 34711

President

Name Role Address
CALLEJAS, LIDEYSA President 10950 GUILFORD ROAD, CLERMONT, FL 34715

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000021463 LIDEYSA CALLEJAS ADULT HOME FAMILY CARE EXPIRED 2013-03-02 2018-12-31 No data 10950 GUILFORD ROAD, MINNEOLA, FL, 34715

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
Domestic Profit 2012-03-13

Date of last update: 23 Jan 2025

Sources: Florida Department of State