| Entity Name: | LAKE SURGERY & ENDOSCOPY CENTER, LTD. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Limited Partnership |
| Status: | Active |
| Date Filed: | 22 Jun 1995 (30 years ago) |
| Document Number: | A95000000944 |
| FEI/EIN Number | 593325730 |
| Address: | 8100 C.R. 44 LEG-A, LEESBURG, FL, 34788, US |
| Mail Address: | 8100 C.R. 44 LEG-A, LEESBURG, FL, 34788, US |
| ZIP code: | 34788 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235165531 | 2006-06-25 | 2014-01-09 | 8110 CNTY RD 44, 8110 COUNTY ROAD 44, LEG A, LEESBURG, FL, 347883704, US | 8110 COUNTY ROAD 44 LEG A, LEESBURG, FL, 347883704, US | |||||||||||||||||||||
|
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| Phone | +1 352-323-8868 |
| Fax | 3527285497 |
| Fax | 3523231691 |
Authorized person
| Name | LILY TRAN |
| Role | DOCTOR |
| Phone | 3523238868 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 845 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ISMAIL ISMAIL A | Agent | 8110 CR 44 LEG A, LEESUBRG, FL, 34788 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LP AMENDMENT | 2012-07-31 | No data | No data |
| CONTRIBUTION CHANGE | 1996-05-06 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
