| Entity Name: | LAKE DRIVE MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Oct 2010 (14 years ago) |
| Date of dissolution: | 28 Apr 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Apr 2017 (8 years ago) |
| Document Number: | L10000108441 |
| FEI/EIN Number | 273705223 |
| Mail Address: | 5220 HOOD RD STE 101, PALM BEACH GARDENS, FL, 33418, US |
| Address: | 2626 LAKE DRIVE, SINGER ISLAND, FL, 33404, US |
| ZIP code: | 33404 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598065153 | 2010-10-29 | 2013-06-25 | 5220 HOOD RD, SUITE 101, PALM BEACH GARDENS, FL, 334188910, US | 2675 LAKE DR, RIVIERA BEACH, FL, 334043813, US | |||||||||||||||
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| Phone | +1 561-748-2889 |
| Fax | 5617481523 |
Authorized person
| Name | KAREN BARLOW |
| Role | PRESIDENT, JUPITER PROFESSIONAL DEV |
| Phone | 5617482889 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACK B. OWEN ESQ | Agent | 4500 PGA BLVD STE 200, PALM BEACH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| HAFFEY GERALD | Managing Member | 5220 HOOD RD STE 101, PALM BEACH GARDENS, FL, 33418 |
| CHIURATO MARC | Managing Member | 5220 HOOD RD STE 101, PALM BEACH GARDENS, FL, 33418 |
| ALBERTO NICHOLAS | Managing Member | 5220 HOOD RD STE 101, PALM BEACH GARDENS, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-29 | 2626 LAKE DRIVE, SINGER ISLAND, FL 33404 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-29 | JACK B. OWEN ESQ | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-29 | 4500 PGA BLVD STE 200, PALM BEACH GARDENS, FL 33418 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-10-24 | 2626 LAKE DRIVE, SINGER ISLAND, FL 33404 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-28 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-01-14 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-02-08 |
| ANNUAL REPORT | 2012-02-09 |
| ADDRESSCHANGE | 2011-04-19 |
| ANNUAL REPORT | 2011-02-11 |
| Florida Limited Liability | 2010-10-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
