| Entity Name: | FAMILY PHYSICIANS OF KENDALL, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
FAMILY PHYSICIANS OF KENDALL, L.L.C. 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 22 Aug 2007 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2010 (14 years ago) |
| Document Number: | L07000086139 |
| FEI/EIN Number |
06-1827386
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11160 NORTH KENDALL DRIVE, SUITES 104 & 105, MIAMI, FL 33176 |
| Mail Address: | 11160 SW 88 Street, Suites 104 & 105, MIAMI, FL 33176 |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952585796 | 2007-12-27 | 2008-07-02 | 11160 SW 88TH ST, SUITE #104 & #105, MIAMI, FL, 331760949, US | 11160 SW 88TH ST, SUITE #104 & #105, MIAMI, FL, 331760949, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 786-263-0911 |
| Fax | 7862632761 |
Authorized person
| Name | NORMA S LAKE |
| Role | OWNER |
| Phone | 7862630911 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME 81467 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 0637962 |
| State | OH |
| Issuer | RAILROAD MEDICARE |
| Number | 080130460 |
| State | OH |
| Issuer | UNITED HEALTH CARE |
| Number | 01-03310 |
| State | OH |
| Issuer | MEDICAID |
| Number | 0151642 |
| State | OH |
| Issuer | ANTHEM BLUE CROSS |
| Number | 000000141284 |
| State | OH |
| Name | Role | Address |
|---|---|---|
| LAKE, NORMA SDR. | Agent | 11160 SW 88 Street, Suites 104 & 105, MIAMI, FL 33176 |
| LAKE, NORMA SDR. | Managing Member | 11160 NORTH KENDALL DRIVE, STE 104 &105, MIAMI, FL 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-04-30 | 11160 NORTH KENDALL DRIVE, SUITES 104 & 105, MIAMI, FL 33176 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-30 | 11160 SW 88 Street, Suites 104 & 105, MIAMI, FL 33176 | - |
| REINSTATEMENT | 2010-09-28 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| CANCEL ADM DISS/REV | 2009-10-14 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-18 |
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-17 |
Date of last update: 25 Feb 2025
Sources: Florida Department of State
