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MULTI-SPECIALTY & PRIMARY CARE PRACTICE GROUP OF LAKE WALES, LLC - Florida Company Profile

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Company Details

Entity Name: MULTI-SPECIALTY & PRIMARY CARE PRACTICE GROUP OF LAKE WALES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
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
Address: 1255 HIGHWAY 60 EAST, 100, LAKE WALES, FL, 33853
Mail Address: 1255 HIGHWAY 60 EAST, 100, LAKE WALES, FL, 33853
ZIP code: 33853
City: Lake Wales
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1467605634

Authorized Person:

Name:
DR. KOLLAGUNTA S CHANDRASEKHAR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
8669220875

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -

Documents

Name Date
ANNUAL REPORT 2010-04-29
ANNUAL REPORT 2009-04-30
Florida Limited Liability 2008-08-14

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Date of last update: 03 Jul 2025

Sources: Florida Department of State