| Entity Name: | MEDERO MEDICAL OF LAKE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MEDERO MEDICAL OF LAKE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 16 Jan 2002 (23 years ago) |
| Date of dissolution: | 24 Dec 2009 (15 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Dec 2009 (15 years ago) |
| Document Number: | L02000001293 |
| FEI/EIN Number |
611427881
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 1109 S.W. 10TH STREET, OCALA, FL, 34471 |
| Address: | 312 SOUTH LAKE STREET, LEESBURG, FL, 34748 |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881831238 | 2009-01-07 | 2009-01-07 | 312 S LAKE ST, LEESBURG, FL, 347485934, US | 1109 SW 10TH ST, OCALA, FL, 344710325, US | |||||||||||||||||||
|
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| Phone | +1 352-629-3433 |
| Fax | 3526296796 |
Authorized person
| Name | MR. LARRY MAYFIELD |
| Role | ADMINISTRATOR |
| Phone | 3526293433 |
Taxonomy
| Taxonomy Code | 2083X0100X - Occupational Medicine Physician |
| License Number | 12664 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DOMINIE MADELINE | Manager | 1109 SW 10TH STREET, OCALA, FL, 34471 |
| DOMINIE COOKIE | Agent | 1109 SW 10TH STREET, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2009-12-24 | - | - |
| CHANGE OF MAILING ADDRESS | 2008-04-01 | 312 SOUTH LAKE STREET, LEESBURG, FL 34748 | - |
| REGISTERED AGENT NAME CHANGED | 2008-04-01 | DOMINIE, COOKIE | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-01 | 1109 SW 10TH STREET, OCALA, FL 34471 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2003-11-20 | 312 SOUTH LAKE STREET, LEESBURG, FL 34748 | - |
| CANCEL ADM DISS/REV | 2003-11-20 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-26 | - | - |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2009-12-24 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2009-04-16 |
| ANNUAL REPORT | 2008-04-01 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-06-19 |
| ANNUAL REPORT | 2005-08-22 |
| ANNUAL REPORT | 2004-04-26 |
| REINSTATEMENT | 2003-11-20 |
| Florida Limited Liabilites | 2002-01-16 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
