| Entity Name: | LAKEWOOD PARK WALK-IN CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 31 Jan 2003 (22 years ago) |
| Date of dissolution: | 30 Dec 2011 (13 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Dec 2011 (13 years ago) |
| Document Number: | L03000003915 |
| FEI/EIN Number | 51-0444224 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| Mail Address: | P.O. BOX 750, LEGAL DEPT., NASHVILLE, TN 37202 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013959394 | 2006-06-12 | 2020-08-22 | 5059 TURNPIKE FEEDER RD, FORT PIERCE, FL, 349512246, US | 5059 TURNPIKE FEEDER RD, FORT PIERCE, FL, 349512246, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 772-465-8588 |
Authorized person
| Name | CRAIG WALKER |
| Role | VP |
| Phone | 7724658588 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| RUTHERFORD, WILLIAM B | Manager | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| MOORE, A. BRUCE JR. | Manager | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| JOHNSON, R. MILTON | Manager | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2010-12-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-28 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| CHANGE OF MAILING ADDRESS | 2004-04-28 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2011-12-30 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-03 |
| ANNUAL REPORT | 2008-04-23 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-04-24 |
| ANNUAL REPORT | 2005-04-28 |
| ANNUAL REPORT | 2004-04-28 |
| Florida Limited Liabilites | 2003-01-31 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
