| Entity Name: | LAKE ANESTHESIA CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Sep 2009 (15 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L09000091887 |
| FEI/EIN Number | 270999029 |
| Address: | 2134 VINDALE ROAD, TAVARES, FL, 32778, US |
| Mail Address: | 2134 VINDALE ROAD, TAVARES, FL, 32778, US |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215253802 | 2010-04-08 | 2010-04-08 | 2060 N DONNELLY ST, MOUNT DORA, FL, 327572824, US | 2130 VINDALE RD, TAVARES, FL, 327785637, US | |||||||||||||||||||
|
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| Phone | +1 352-383-7777 |
| Fax | 3523838875 |
Authorized person
| Name | DR. LALBAHADUR S NAGABHAIRU |
| Role | MEDICAL DIRECTOR |
| Phone | 3526366969 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME63590 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NEWMAN RICHARD P | Agent | 1000 W. MAIN STREET, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| NAGABHAIRU LALBAHADUR | Manager | 2134 VINDALE ROAD, TAVARES, FL, 32778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-25 | 2134 VINDALE ROAD, TAVARES, FL 32778 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-25 | 2134 VINDALE ROAD, TAVARES, FL 32778 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-04-08 |
| Florida Limited Liability | 2009-09-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
