| Entity Name: | SAND LAKE MEDICAL ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Apr 1987 (38 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Jan 2006 (19 years ago) |
| Document Number: | J65376 |
| FEI/EIN Number | 59-2805125 |
| Address: | 6200 MERTOWEST BLVD, STE 106, ORLANDO, FL 32835 |
| Mail Address: | 6200 MERTOWEST BLVD, STE 106, ORLANDO, FL 32835 |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104864826 | 2006-06-03 | 2009-07-30 | 6200 METROWEST BLVD, SUITE 106, ORLANDO, FL, 328357636, US | 6200 METROWEST BLVD, SUITE 106, ORLANDO, FL, 328357636, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 407-345-1551 |
| Fax | 4073454893 |
Authorized person
| Name | DR. VICTOR HUNT HARDING |
| Role | VICE PRESIDENT |
| Phone | 4073451551 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Harding, Victor, Dr. | Agent | 6200 MERTOWEST BLVD, STE 106, ORLANDO, FL 32835 |
| Name | Role | Address |
|---|---|---|
| HARDING, VICTOR H | Director | 6200 MERTOWEST BLVD, STE 106, ORLANDO, FL 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-01-30 | Harding, Victor, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-30 | 6200 MERTOWEST BLVD, STE 106, ORLANDO, FL 32835 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-06-19 | 6200 MERTOWEST BLVD, STE 106, ORLANDO, FL 32835 | No data |
| CHANGE OF MAILING ADDRESS | 2009-06-19 | 6200 MERTOWEST BLVD, STE 106, ORLANDO, FL 32835 | No data |
| REINSTATEMENT | 2006-01-10 | No data | No data |
| ADMIN DISSOLUTION FOR REGISTERED AGENT | 2005-11-01 | No data | No data |
| NAME CHANGE AMENDMENT | 1987-10-29 | SAND LAKE MEDICAL ASSOCIATES, P.A. | No data |
| NAME CHANGE AMENDMENT | 1987-08-10 | SAND LAKE MEDICAL ASSOCIATES, P.A., DEBORAH F. HARDING, M.D., VICTOR H. HARDING, M.D. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10001006573 | TERMINATED | 2010-CC-012490-O | ORANGE COUNTY COURT | 2010-10-20 | 2015-10-26 | $12,458.37 | MCKESSON MEDICAL-SURGICAL, INC., C/O WILLIAM M. LINDEMAN, P.A., POST OFFICE BOX 3506, ORLANDO, FL 32802 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-18 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-01-30 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
