| Entity Name: | LAKESIDE PEDIATRICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 May 1984 (41 years ago) |
| Document Number: | H03214 |
| FEI/EIN Number | 592406345 |
| Address: | 5950 S.FLORIDA AVE., LAKELAND, FL, 33813 |
| Mail Address: | 5950 S.FLORIDA AVE., LAKELAND, FL, 33813 |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| PUTERBAUGH ROBERT E | Agent | 225 East Lemon Street, Lakeland, FL, 33801 |
| Name | Role | Address |
|---|---|---|
| ROLETTE AYANNA | President | 5450 KINGS MONT DR, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| CHACHAD SAIRAH | Director | 6394 HIGHLANDS IN THE WOODS AVE, LAKELAND, FL, 33813 |
| RAMOS YESENIA | Director | 6519 EAGLE VIEW LOOP, LAKELAND, FL, 33813 |
| DINH LISA A | Director | 6107 SUNSET VISTA DRIVE, LAKELAND, FL, 33812 |
| Name | Role | Address |
|---|---|---|
| CANNON CARA M | Secretary | 1414 SPRUCE ROAD SOUTH, LAKELAND, FL, 33809 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G92139000090 | LAKESIDE PEDIATRICS | ACTIVE | 1992-05-18 | 2027-12-31 | No data | 5950 S. FLORIDA AVE., LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 1992-04-29 | LAKESIDE PEDIATRICS, P.A. | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
