| Entity Name: | NEPHROLOGY ASSOCIATES OF LAKE COUNTY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Dec 2010 (14 years ago) |
| Document Number: | L10000127767 |
| FEI/EIN Number | 274255432 |
| Address: | 3801 N HWY 19A, SUITE 400, MOUNT DORA, FL, 32757 |
| Mail Address: | P O BOX 8, MOUNT DORA, FL, 32756 |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316244296 | 2011-02-11 | 2011-02-11 | 3801 N HIGHWAY 19A, SUITE 400, MOUNT DORA, FL, 327572228, US | 3801 N HIGHWAY 19A, SUITE 400, MOUNT DORA, FL, 327572228, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 352-383-1245 |
| Fax | 3523834401 |
Authorized person
| Name | SUZANNE LYNN STAVES |
| Role | OFFICE MANAGER |
| Phone | 3523831245 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RICE JOHN S | Agent | 627 N DONNELLY STREET, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| TAYLOR RUTH MENESES | Manager | 627 N DONNELLY STREET, MOUNT DORA, FL, 32757 |
| RODRIGUEZ GERARDO J | Manager | 627 N DONNELLY STREET, MOUNT DORA, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-29 | 3801 N HWY 19A, SUITE 400, MOUNT DORA, FL 32757 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-02-02 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-28 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
