| Entity Name: | LAKEWOOD RANCH MEDICAL GROUP, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Jan 2008 (17 years ago) |
| Date of dissolution: | 19 Aug 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Aug 2022 (2 years ago) |
| Document Number: | L08000008612 |
| FEI/EIN Number | 261849735 |
| Address: | 8330 LAKEWOOD RANCH BLVD., BRADENTON, FL, 34202, US |
| Mail Address: | 367 S. GULPH RD., UHS OF DELAWARE, INC., KING OF PRUSSIA, PA, 19406, US |
| ZIP code: | 34202 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093975062 | 2008-06-13 | 2010-05-24 | PO BOX 281741, ATLANTA, GA, 303841741, US | 8340 LAKEWOOD RANCH BLVD, SUITE 140, LAKEWOOD RANCH, FL, 342025180, US | |||||||||||||||||||||||
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| Phone | +1 941-782-2800 |
| Fax | 9417822513 |
Authorized person
| Name | DR. CECILIA D CARAG |
| Role | DELEGATED OFFICER |
| Phone | 9417822800 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAIL ROAD MEDICARE |
| Number | DN8672 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| MANATEE MEMORIAL HOSPITAL, L.P. | Managing Member | 367 S. GULPH ROAD, KING OF PRUSSIA, PA, 19406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-08-19 | No data | No data |
| LC STMNT OF RA/RO CHG | 2017-01-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-30 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-30 | 1201 hays street, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-13 | 8330 LAKEWOOD RANCH BLVD., BRADENTON, FL 34202 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-13 | 8330 LAKEWOOD RANCH BLVD., BRADENTON, FL 34202 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-08-19 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-06 |
| CORLCRACHG | 2017-01-30 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-04-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
