| Entity Name: | LAKE SURGICAL CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Jul 1977 (48 years ago) |
| Document Number: | 538141 |
| FEI/EIN Number | 591753397 |
| Mail Address: | 9585 SILVER LAKE DRIVE, LEESBURG, FL, 34788, US |
| Address: | 9585 SILVER LAKE DRIVE, LEESBURG, FL, 34788 |
| ZIP code: | 34788 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BURNSED, DAVID W., M.D. | Agent | 9585 SILVER LAKE DRIVE, LEESBURG, FL, 34788 |
| Name | Role | Address |
|---|---|---|
| BURNSED, DAVID W., M.D. | President | 9585 SILVER LAKE DRIVE, LEESBURG, FL, 34788 |
| Name | Role | Address |
|---|---|---|
| BURNSED, DAVID W., M.D. | Treasurer | 9585 SILVER LAKE DRIVE, LEESBURG, FL, 34788 |
| Name | Role | Address |
|---|---|---|
| BURNSED, DAVID W., M.D. | Director | 9585 SILVER LAKE DRIVE, LEESBURG, FL, 34788 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REINSTATEMENT | 1992-07-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1990-11-09 | No data | No data |
| NAME CHANGE AMENDMENT | 1987-10-05 | LAKE SURGICAL CLINIC, P.A. | No data |
| NAME CHANGE AMENDMENT | 1983-04-06 | LAKE SURGICAL CLINIC, BURNSED & SMITH, M.D., P.A. | No data |
| NAME CHANGE AMENDMENT | 1978-12-29 | BURNSED, KEENAN & SMITH, M.D., P.A. | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
