| Entity Name: | THE LAST RESORT PAIN TREATMENT CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Oct 2005 (19 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L05000102139 |
| FEI/EIN Number | 203684880 |
| Address: | 6507 CRESCENT LAKE DRIVE, LAKELAND, FL, 33813, US |
| Mail Address: | 6507 CRESCENT LAKE DRIVE, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932235280 | 2007-02-23 | 2020-08-22 | 4406 S FLORIDA AVE, STE 16, LAKELAND, FL, 338132172, US | 4406 S FLORIDA AVE, STE 16, LAKELAND, FL, 338132172, US | |||||||||||||||||||
|
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| Phone | +1 863-709-8000 |
| Fax | 8637098002 |
Authorized person
| Name | DR. W LANCE MCKITRICK |
| Role | OWNER |
| Phone | 8637098002 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME79018 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCKITRICK W. LANCE DDS, MD | Agent | 6507 CRESCENT LAKE DR, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| MCKITRICK W. LANCE MD | Manager | 6507 CRESCENT LAKE DRIVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| MCKITRICK W. LANCE MD | President | 6507 CRESCENT LAKE DRIVE, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2014-03-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-07 | 6507 CRESCENT LAKE DRIVE, LAKELAND, FL 33813 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-07 | 6507 CRESCENT LAKE DRIVE, LAKELAND, FL 33813 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-07-31 | 6507 CRESCENT LAKE DR, LAKELAND, FL 33813 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-07-12 |
| ANNUAL REPORT | 2015-04-23 |
| REINSTATEMENT | 2014-03-07 |
| ANNUAL REPORT | 2008-07-31 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-04-25 |
| Florida Limited Liability | 2005-10-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
