| Entity Name: | SOUTH LAKE CARDIOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Jan 2008 (17 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L08000005818 |
| FEI/EIN Number | 800141970 |
| Address: | 1505 MISTY GLEN LN, CLERMONT, FL, 34711 |
| Mail Address: | 1505 MISTY GLEN LN, CLERMONT, FL, 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336313550 | 2008-04-18 | 2008-04-18 | 3150 CITRUS TOWER BLVD, BUILDING 13, SUITE B, CLERMONT, FL, 347116802, US | 3150 CITRUS TOWER BLVD, BUILDING 13, SUITE B, CLERMONT, FL, 347116802, US | |||||||||||||||||
|
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| Phone | +1 407-467-1234 |
Authorized person
| Name | OSAMA F AL-SULEIMAN |
| Role | DIRECTOR |
| Phone | 4074671234 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME86774 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AL-SULEIMAN OSAMA | Agent | 1505 MISTY GLEN LN, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| AL-SULEIMAN OSAMA | Manager | 1505 MISTY GLEN LN, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-02 | 1505 MISTY GLEN LN, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-02 | 1505 MISTY GLEN LN, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-02 | AL-SULEIMAN, OSAMA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-02 | 1505 MISTY GLEN LN, CLERMONT, FL 34711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-26 |
| ANNUAL REPORT | 2009-04-02 |
| Florida Limited Liability | 2008-01-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
