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LAKELAND DERMATOLOGY, INC. - Florida Company Profile

Company Details

Entity Name: LAKELAND DERMATOLOGY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LAKELAND DERMATOLOGY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 22 Aug 1989 (36 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: L11275
FEI/EIN Number 650140094

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 202 LAKE MIRIAM DRIVE, SOUTH - 1, LAKELAND, FL, 33813-2580, US
Mail Address: 202 LAKE MIRIAM DRIVE, SOUTH - 1, LAKELAND, FL, 33813-2580, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255403762 2006-11-14 2010-11-04 202 LAKE MIRIAM DR STE S1, LAKELAND, FL, 338132188, US 202 LAKE MIRIAM DR STE S1, LAKELAND, FL, 338132188, US

Contacts

Phone +1 863-647-2333
Fax 8633931995

Authorized person

Name DAVID W MURRAY
Role MD
Phone 8636472333

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKELAND DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2013 650140094 2014-10-15 LAKELAND DERMATOLOGY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8636472333
Plan sponsor’s address 202 LAKE MIRIAM DRIVE, LAKELAND, FL, 33813

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing DAVID MURRAY
Valid signature Filed with authorized/valid electronic signature
LAKELAND DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2013 650140094 2014-10-15 LAKELAND DERMATOLOGY, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8636472333
Plan sponsor’s address 202 LAKE MIRIAM DRIVE, LAKELAND, FL, 33813

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing DAVID MURRAY
Valid signature Filed with authorized/valid electronic signature
LAKELAND DERMATOLOGY, INC. 401K PROFIT SHARING PLAN 2012 650140094 2013-10-10 LAKELAND DERMATOLOGY, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8636472333
Plan sponsor’s address 202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188

Plan administrator’s name and address

Administrator’s EIN 650140094
Plan administrator’s name LAKELAND DERMATOLOGY, INC.
Plan administrator’s address 202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188
Administrator’s telephone number 8636472333

Signature of

Role Plan administrator
Date 2013-10-10
Name of individual signing DAVID MURRAY
Valid signature Filed with authorized/valid electronic signature
LAKELAND DERMATOLOGY, INC. 401K PROFIT SHARING PLAN 2011 650140094 2012-10-04 LAKELAND DERMATOLOGY, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8636472333
Plan sponsor’s address 202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188

Plan administrator’s name and address

Administrator’s EIN 650140094
Plan administrator’s name LAKELAND DERMATOLOGY, INC.
Plan administrator’s address 202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188
Administrator’s telephone number 8636472333

Signature of

Role Plan administrator
Date 2012-10-04
Name of individual signing DAVID MURRAY
Valid signature Filed with authorized/valid electronic signature
LAKELAND DERMATOLOGY, INC. 401K PROFIT SHARING PLAN 2010 650140094 2011-10-10 LAKELAND DERMATOLOGY, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8636472333
Plan sponsor’s address 202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188

Plan administrator’s name and address

Administrator’s EIN 650140094
Plan administrator’s name LAKELAND DERMATOLOGY, INC.
Plan administrator’s address 202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188
Administrator’s telephone number 8636472333

Signature of

Role Plan administrator
Date 2011-10-10
Name of individual signing DAVID MURRAY
Valid signature Filed with authorized/valid electronic signature
LAKELAND DERMATOLOGY, INC. 401K PROFIT SHARING PLAN 2009 650140094 2010-07-26 LAKELAND DERMATOLOGY, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8636472333
Plan sponsor’s address 202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188

Plan administrator’s name and address

Administrator’s EIN 650140094
Plan administrator’s name LAKELAND DERMATOLOGY, INC.
Plan administrator’s address 202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188
Administrator’s telephone number 8636472333

Signature of

Role Plan administrator
Date 2010-07-26
Name of individual signing DAVID MURRAY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MURRAY DAVID W Manager 202 LAKE MIRIAM DRIVE, SOUTH - 1, LAKELAND, FL, 33813
MURRAY DAVID W Director 202 LAKE MIRIAM DRIVE, SOUTH - 1, LAKELAND, FL, 33813
MURRAY TAWNEY Manager 202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 33813
MURRAY DAVID W Agent 202 LAKE MIRIAM DRIVE, LAKELAND, FL, 33813

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2009-01-28 202 LAKE MIRIAM DRIVE, SOUTH - 1, LAKELAND, FL 33813-2580 -
CHANGE OF MAILING ADDRESS 2009-01-28 202 LAKE MIRIAM DRIVE, SOUTH - 1, LAKELAND, FL 33813-2580 -
REGISTERED AGENT ADDRESS CHANGED 2009-01-28 202 LAKE MIRIAM DRIVE, SOUTH - 1, LAKELAND, FL 33813 -
REGISTERED AGENT NAME CHANGED 2005-04-13 MURRAY, DAVID WMD -

Documents

Name Date
ANNUAL REPORT 2015-04-13
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-01-25
ANNUAL REPORT 2012-02-08
ANNUAL REPORT 2011-01-05
ANNUAL REPORT 2010-03-02
ANNUAL REPORT 2009-01-28
ANNUAL REPORT 2008-04-14
ANNUAL REPORT 2007-02-22
ANNUAL REPORT 2006-03-06

Date of last update: 02 Mar 2025

Sources: Florida Department of State