| Entity Name: | MULTI-SPECIALTY & PRIMARY CARE PRACTICE GROUP OF LAKE WALES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MULTI-SPECIALTY & PRIMARY CARE PRACTICE GROUP OF LAKE WALES, LLC 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 Aug 2008 (17 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | L08000078208 |
| FEI/EIN Number |
263175940
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1255 HIGHWAY 60 EAST, 100, LAKE WALES, FL, 33853 |
| Mail Address: | 1255 HIGHWAY 60 EAST, 100, LAKE WALES, FL, 33853 |
| ZIP code: | 33853 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467605634 | 2008-10-31 | 2009-04-08 | 1255 STATE ROAD 60 EAST, LAKE WALES, FL, 33853, US | 1255 STATE ROAD 60 EAST, LAKE WALES, FL, 33853, US | |||||||||||||||
|
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| Phone | +1 863-232-5111 |
| Fax | 8669220875 |
Authorized person
| Name | DR. KOLLAGUNTA S CHANDRASEKHAR |
| Role | OWNER |
| Phone | 8632945505 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHANDRASEKHAR KOLLAGUNTA S | Managing Member | 1255 HIGHWAY 60, SUITE 100, LAKE WALES, FL, 33853 |
| PASS CAROLYN D | Managing Member | 1255 HIGHWAY 60, SUITE 100, LAKE WALES, FL, 33853 |
| FAROUK BELAL M | Managing Member | 1255 HIGHWAY 60, SUITE 100, LAKE WALES, FL, 33853 |
| PRESLEY MICHAEL R | Agent | 10006 CROSS CREEK BLVD., TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-30 |
| Florida Limited Liability | 2008-08-14 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
