| Entity Name: | LOZANO INTERNAL MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Sep 2006 (18 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L06000095599 |
| FEI/EIN Number | 205631895 |
| Address: | 320 STATE RD 60 E, STE 301, LAKE WALES, FL, 33853 |
| Mail Address: | 320 STATE RD 60 E, STE 301, LAKE WALES, FL, 33853 |
| ZIP code: | 33853 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669595757 | 2007-04-06 | 2010-04-16 | PO BOX 919317, ORLANDO, FL, 328919317, US | 320 STATE ROAD 60 E, STE 301, LAKE WALES, FL, 338533750, US | |||||||||||||||||
|
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| Phone | +1 863-678-1400 |
Authorized person
| Name | GILBERTO LOZANO |
| Role | OWNER - PROVIDER |
| Phone | 8636781400 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME84676 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOZANO GILBERTO A | Agent | 320 STATE RD 60 E, LAKE WALES, FL, 33853 |
| Name | Role | Address |
|---|---|---|
| LOZANO GILBERTO A | Manager | 320 STATE RD 60 E, LAKE WALES, FL, 33853 |
| Name | Role | Address |
|---|---|---|
| Lozano Suzette c | Mgr | 320 STATE RD 60 E, LAKE WALES, FL, 33853 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2025-01-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-24 | 320 STATE RD 60 E, STE 301, LAKE WALES, FL 33853 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-10-06 | 320 STATE RD 60 E, STE 301, LAKE WALES, FL 33853 | No data |
| REINSTATEMENT | 2010-10-06 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-10-06 | 320 STATE RD 60 E, STE 301, LAKE WALES, FL 33853 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-02-22 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-02-24 |
| ANNUAL REPORT | 2014-03-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
