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LAKELAND WOMEN'S HEALTH CENTER, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
OWENS, DEZRA Agent 2106 DREW ST, STE 103, CLEARWATER, FL 33765

Director

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

Vice President

Name Role Address
MILLER, MELINDA R Vice President 2106 DREW ST., STE 103, CLEARWATER, FL 33765

Treasurer

Name Role Address
MILLER, MELINDA R Treasurer 2106 DREW ST., STE 103, CLEARWATER, FL 33765

Secretary

Name Role Address
OWENS, DEZRA Secretary 2106 DREW ST #103, CLEARWATER, FL 33765

Asst. Secretary

Name Role Address
DRESDEN, DARA RAYNE Asst. Secretary 2106 DREW ST, SUITE 103 CLEARWATER, FL 33765

President

Name Role Address
MYERS, SANDRA President 2106 DREW ST #103, CLEARWATER, FL 33765

Fictitious Names

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

Events

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

Documents

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