| Entity Name: | VASCULAR SPECIALISTS OF LAKELAND, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Feb 2012 (13 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 06 Apr 2012 (13 years ago) |
| Document Number: | L12000016831 |
| FEI/EIN Number | 45-4981008 |
| Mail Address: | 2115 CRYSTAL GROVE DRIVE, LAKELAND, FL, 33801, US |
| Address: | 1305 LAKELAND HILLS BLVD., LAKELAND, FL, 33805, US |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548526155 | 2012-04-09 | 2013-08-12 | 2125 CRYSTAL GROVE DR, LAKELAND, FL, 338016875, US | 2125 CRYSTAL GROVE DR, LAKELAND, FL, 338016875, US | |||||||||||||||
|
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| Phone | +1 863-688-2334 |
| Fax | 8635771167 |
Authorized person
| Name | EDWARD J GOODEMOTE |
| Role | CEO |
| Phone | 8636882334 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARRETT JOHN | Agent | 2115 CRYSTAL GROVE DRIVE, LAKELAND, FL, 33801 |
| Name | Role | Address |
|---|---|---|
| SORRELLS RICHARD Jr. | Chief Executive Officer | 2115 CRYSTAL GROVE DRIVE, LAKELAND, FL, 33801 |
| Name | Role | Address |
|---|---|---|
| BARRETT JOHN | Chief Financial Officer | 2115 CRYSTAL GROVE DRIVE, LAKELAND, FL, 33801 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000047636 | LAKELAND VASCULAR INSTITUTE | EXPIRED | 2012-05-23 | 2017-12-31 | No data | 2120 LAKELAND HILLS BLVD., LAKELAND, FL, 33005 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-23 | BARRETT, JOHN | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-26 | 1305 LAKELAND HILLS BLVD., LAKELAND, FL 33805 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-26 | 2115 CRYSTAL GROVE DRIVE, LAKELAND, FL 33801 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-20 | 1305 LAKELAND HILLS BLVD., LAKELAND, FL 33805 | No data |
| LC NAME CHANGE | 2012-04-06 | VASCULAR SPECIALISTS OF LAKELAND, L.L.C. | No data |
| LC NAME CHANGE | 2012-02-29 | LAKELAND VASCULAR INSTITUTE, L.L.C. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-24 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-03-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
