Entity Name: | LAKELAND WOMEN'S HEALTH CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 09 Jun 1975 (50 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 14 Sep 2020 (4 years ago) |
Document Number: | 477570 |
FEI/EIN Number | 59-1613824 |
Mail Address: | 2106 DREW ST, SUITE 103, CLEARWATER, FL 33765 |
Address: | 4444 SOUTH FLORIDA AVENUE, LAKELAND, FL 33813 |
ZIP code: | 33813 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1669620027 | 2008-08-28 | 2008-08-28 | 2106 DREW ST, STE 103, CLEARWATER, FL, 337653238, US | 4444 S FLORIDA AVE, LAKELAND, FL, 338132159, US | |||||||||||||||||||||||
|
Phone | +1 727-442-0445 |
Fax | 7274473797 |
Phone | +1 863-644-7541 |
Fax | 8636464308 |
Authorized person
Name | MARISELLA MARENGO |
Role | BILLING AND CONTRACT MANAGER |
Phone | 7274420445 |
Taxonomy
Taxonomy Code | 207VG0400X - Gynecology Physician |
License Number | 760 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
OWENS, DEZRA | Agent | 2106 DREW ST, STE 103, CLEARWATER, FL 33765 |
Name | Role | Address |
---|---|---|
DRESDEN, GARY A, MD | Director | 2106 DREW ST., STE 103, CLEARWATER, FL 33765 |
MILLER, MELINDA R | Director | 2106 DREW ST., STE 103, CLEARWATER, FL 33765 |
MYERS, SANDRA | Director | 2106 DREW ST #103, CLEARWATER, FL 33765 |
Name | Role | Address |
---|---|---|
MILLER, MELINDA R | Vice President | 2106 DREW ST., STE 103, CLEARWATER, FL 33765 |
Name | Role | Address |
---|---|---|
MILLER, MELINDA R | Treasurer | 2106 DREW ST., STE 103, CLEARWATER, FL 33765 |
Name | Role | Address |
---|---|---|
OWENS, DEZRA | Secretary | 2106 DREW ST #103, CLEARWATER, FL 33765 |
Name | Role | Address |
---|---|---|
DRESDEN, DARA RAYNE | Asst. Secretary | 2106 DREW ST, SUITE 103 CLEARWATER, FL 33765 |
Name | Role | Address |
---|---|---|
MYERS, SANDRA | President | 2106 DREW ST #103, CLEARWATER, FL 33765 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G93099000154 | LAKELAND WOMEN'S HEALTH CENTER | ACTIVE | 1993-04-09 | 2028-12-31 | No data | 4444 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33813, US |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 2020-09-14 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2011-03-29 | OWENS, DEZRA | No data |
CHANGE OF PRINCIPAL ADDRESS | 2010-02-27 | 4444 SOUTH FLORIDA AVENUE, LAKELAND, FL 33813 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2009-04-28 | 2106 DREW ST, STE 103, CLEARWATER, FL 33765 | No data |
CHANGE OF MAILING ADDRESS | 1998-05-08 | 4444 SOUTH FLORIDA AVENUE, LAKELAND, FL 33813 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-04 |
ANNUAL REPORT | 2023-04-11 |
ANNUAL REPORT | 2022-04-21 |
ANNUAL REPORT | 2021-04-27 |
Amendment | 2020-09-14 |
ANNUAL REPORT | 2020-03-25 |
ANNUAL REPORT | 2019-04-25 |
ANNUAL REPORT | 2018-04-24 |
ANNUAL REPORT | 2017-04-26 |
ANNUAL REPORT | 2016-04-29 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State