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LAKE MEDICAL CENTER PLLC - Florida Company Profile

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Company Details

Entity Name: LAKE MEDICAL CENTER PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Mar 2010 (15 years ago)
Document Number: L10000026602
FEI/EIN Number 272095417
Address: 425 S.E. 2ND ST., BELLE GLADE, FL, 33430, US
Mail Address: P.O. BOX 642, BELLE GLADE, FL, 33430, US
ZIP code: 33430
City: Belle Glade
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MCMILLAN SUSAN Managing Member 425 SE 2ND STREET, BELLE GLADE, FL, 33430
STEVENS JOHN M Agent 333 SE 2ND STREET, BELLE GLADE, FL, 33430

National Provider Identifier

NPI Number:
1699198903

Authorized Person:

Name:
SUSAN MCMILLAN
Role:
NURSE PRACTIONEER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5619920510

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2011-03-25 425 S.E. 2ND ST., BELLE GLADE, FL 33430 -
CHANGE OF MAILING ADDRESS 2011-03-25 425 S.E. 2ND ST., BELLE GLADE, FL 33430 -
REGISTERED AGENT NAME CHANGED 2011-03-25 STEVENS, JOHN M -
REGISTERED AGENT ADDRESS CHANGED 2011-03-25 333 SE 2ND STREET, BELLE GLADE, FL 33430 -

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-31
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-12

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$28,242
Date Approved:
2021-01-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$28,242
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$28,382.05
Servicing Lender:
Bank of Belle Glade
Use of Proceeds:
Payroll: $28,239
Utilities: $1
Jobs Reported:
4
Initial Approval Amount:
$28,242
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$28,242
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$28,378.95
Servicing Lender:
Bank of Belle Glade
Use of Proceeds:
Payroll: $28,242

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Date of last update: 01 Aug 2025

Sources: Florida Department of State