| Entity Name: | LEESBURG PEDIATRICS PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LEESBURG PEDIATRICS PA 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 May 2013 (12 years ago) |
| Document Number: | P13000040370 |
| FEI/EIN Number |
46-2702638
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8113 CENTRALIA CT, LEESBURG, FL, 34788, US |
| Mail Address: | 8113 CENTRALIA CT, #103, LEESBURG, FL, 34788, US |
| ZIP code: | 34788 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003258666 | 2013-07-24 | 2021-12-03 | 265 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL, 347111908, US | 8113 CENTRALIA CT, LEESBURG, FL, 347887508, US | |||||||||||||||||||||||||||||
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| Phone | +1 352-394-3929 |
| Fax | 3523946446 |
| Phone | +1 352-435-7938 |
| Fax | 3528054145 |
Authorized person
| Name | MOHAMMAD AFZAL |
| Role | OWNER |
| Phone | 3523943929 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009585800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AFZAL MOHAMMAD DR. | Director | 265 CITRUS TOWER BLVD, CLERMONT, FL, 34711 |
| AFZAL MOHAMMAD DR. | President | 265 CITRUS TOWER BLVD, CLERMONT, FL, 34711 |
| AFZAL NADIA | Vice President | 265 CITRUS TOWER BLVD, CLERMONT, FL, 34711 |
| AFZAL MOHAMMAD | Agent | 8113 CENTRALIA CT, LEESBURG, FL, 34788 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-27 | 8113 CENTRALIA CT, LEESBURG, FL 34788 | - |
| CHANGE OF MAILING ADDRESS | 2021-09-27 | 8113 CENTRALIA CT, LEESBURG, FL 34788 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-09-27 | 8113 CENTRALIA CT, #103, LEESBURG, FL 34788 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-01-28 |
| AMENDED ANNUAL REPORT | 2021-09-27 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-02-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2921477206 | 2020-04-16 | 0491 | PPP | 110 E NORTH BLVD, LEESBURG, FL, 34748-5241 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
