| Entity Name: | LEAP HEALTH MEDICAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Apr 2024 (9 months ago) |
| Document Number: | P24000030829 |
| Address: | 3702 W SPRUCE STREET, 1504, TAMPA, FL 33607 |
| Mail Address: | 3702 W SPRUCE STREET, 1504, TAMPA, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720828346 | 2024-05-30 | 2024-05-30 | 3702 W SPRUCE ST # 1504, TAMPA, FL, 336072553, US | 8270 WOODLAND CENTER BLVD, TAMPA, FL, 33614, US | |||||||||||||
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| Phone | +1 310-869-0218 |
Authorized person
| Name | LILLIE SINGH |
| Role | LEGAL COUNSEL |
| Phone | 3108690218 |
Taxonomy
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REGISTERD AGENTS INC. | Agent | 7901 4TH STREET N, SUITE 300, ST. PETERSBURG, FL 33702 |
| Name | Role | Address |
|---|---|---|
| SAMUEL, PETER | President | 3702 W SPRUCE STREET, 1504, TAMPA, FL 33607 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-04-30 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
