| Entity Name: | PRIMARY MEDICAL CENTER OF LAKELAND, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRIMARY MEDICAL CENTER OF LAKELAND, 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: | 30 Jun 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | L05000065196 |
| FEI/EIN Number |
90-0928363
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1417 LAKELAND HILLS BLVD, 106, LAKELAND, FL, 33805, US |
| Mail Address: | PO BOX 7550, LAKELAND, FL, 33807, US |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780621607 | 2006-05-31 | 2016-11-08 | 1417 LAKELAND HILLS BLVD, SUITE #106, LAKELAND, FL, 338053200, US | 1417 LAKELAND HILLS BLVD, SUITE #106, LAKELAND, FL, 338053200, US | |||||||||||||||||||
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| Phone | +1 863-687-4575 |
| Fax | 8636161342 |
Authorized person
| Name | MARC A GUERRIER JR. |
| Role | MANAGER MEMBER |
| Phone | 8636874575 |
Taxonomy
| Taxonomy Code | 173000000X - Legal Medicine |
| License Number | ME27448 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRIMARY MEDICAL CENTER OF LAKELAND LLC 401K PLAN | 2021 | 900928363 | 2022-09-07 | PRIMARY MEDICAL CENTER OF LAKELAND LLC | 3 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-09-07 |
| Name of individual signing | MARC GUERRIER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8636874575 |
| Plan sponsor’s address | 1417 LAKELAND HILLS BLVD, STE 106, LAKELAND, FL, 33805 |
Signature of
| Role | Plan administrator |
| Date | 2019-05-16 |
| Name of individual signing | RHEA SAUZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GUERRIER MARC A | Managing Member | 1417 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Guerrier Marc Dr. | Agent | 1417 LAKELAND HILLS BLVD, LAKELAND, FL, 33807 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000055481 | PRIMARY MEDICAL CENTER OF LAKELAND | EXPIRED | 2012-06-08 | 2017-12-31 | - | P.O. BOX 5917, LAKELAND, FL, 33807 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| CHANGE OF MAILING ADDRESS | 2019-02-07 | 1417 LAKELAND HILLS BLVD, 106, LAKELAND, FL 33805 | - |
| REINSTATEMENT | 2015-11-11 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-05-01 | 1417 LAKELAND HILLS BLVD, 106, LAKELAND, FL 33805 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-05-01 | 1417 LAKELAND HILLS BLVD, 106, LAKELAND, FL 33807 | - |
| REGISTERED AGENT NAME CHANGED | 2013-04-30 | Guerrier, Marc, Dr. | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000380984 | TERMINATED | 1000000896285 | POLK | 2021-07-26 | 2031-07-28 | $ 1,213.95 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LAKELAND SERVICE CENTER, 115 S MISSOURI AVE STE 202, LAKELAND FL338154644 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-04-25 |
| REINSTATEMENT | 2015-11-11 |
| ANNUAL REPORT | 2014-05-01 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-03-21 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-04-29 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
