| Entity Name: | LAKESHORE MEDICAL CARE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LAKESHORE MEDICAL CARE CENTER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 20 Jun 1989 (36 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | K96887 |
| FEI/EIN Number |
592953696
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4570 SAN JUAN AVE., JACKSONVILLE, FL, 32210, US |
| Mail Address: | PO Box 14640, Jacksonville, FL, 32238, US |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124195573 | 2006-11-29 | 2010-12-27 | 4616 SAN JUAN AVE, JACKSONVILLE, FL, 322103228, US | 4616 SAN JUAN AVE, JACKSONVILLE, FL, 322103228, US | |||||||||||||||||||||||||||
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| Phone | +1 904-384-5385 |
| Fax | 9043885838 |
Authorized person
| Name | MISS TRACY TEAGLE |
| Role | OFFICE MANAGER |
| Phone | 9043845385 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | 0042816 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | ME0018387 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PUNYA CHALERMCHAI M | Director | 4570 SAN JUAN AVE., JACKSONVILLE, FL, 32210 |
| TEAGLE TRACY | Secretary | 4570 SAN JUAN AVE., JACKSONVILLE, FL, 32210 |
| TEAGLE TRACY | Agent | 4570 SAN JUAN AVE., JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2018-03-12 | 4570 SAN JUAN AVE., Suite 2, JACKSONVILLE, FL 32210 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-13 | 4570 SAN JUAN AVE., Suite 2, JACKSONVILLE, FL 32210 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-13 | 4570 SAN JUAN AVE., Suite 2, JACKSONVILLE, FL 32210 | - |
| REGISTERED AGENT NAME CHANGED | 2008-03-27 | TEAGLE, TRACY | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-23 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-02-04 |
Date of last update: 03 May 2025
Sources: Florida Department of State
