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EAST LAKE MEDICAL CLINIC, PLLC - Florida Company Profile

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Company Details

Entity Name: EAST LAKE MEDICAL CLINIC, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

EAST LAKE MEDICAL CLINIC, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 12 Apr 2013 (12 years ago)
Date of dissolution: 02 Mar 2016 (9 years ago)
Last Event: CONVERSION
Event Date Filed: 02 Mar 2016 (9 years ago)
Document Number: L13000053766
FEI/EIN Number 46-2478545

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

Address: 4737 OLD CANOE CREEK ROAD, ST. CLOUD, FL, 34769
Mail Address: 4737 old canoe creek rd, ST. CLOUD, FL, 34769, US
ZIP code: 34769
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LY KATE N Agent 4737 old canoe creek rd, ST. CLOUD, FL, 34769
LY KATE N Manager 4737 OLD CANOE CREEK RD, ST. CLOUD, FL, 34769
LY DUSTIN N Managing Member 4737 OLD CANOE CREEK RD, ST. CLOUD, FL, 34769

National Provider Identifier

NPI Number:
1790124741

Authorized Person:

Name:
DR. DUSTIN LY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CONVERSION 2016-03-02 - CONVERSION MEMBER. RESULTING CORPORATION WAS P16000021885. CONVERSION NUMBER 100000158991
CHANGE OF MAILING ADDRESS 2014-01-09 4737 OLD CANOE CREEK ROAD, ST. CLOUD, FL 34769 -
REGISTERED AGENT ADDRESS CHANGED 2014-01-09 4737 old canoe creek rd, ST. CLOUD, FL 34769 -

Documents

Name Date
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-07
ANNUAL REPORT 2014-01-09
Florida Limited Liability 2013-04-12

USAspending Awards / Financial Assistance

Date:
2020-06-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
7000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
7300.00
Total Face Value Of Loan:
0.00

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Date of last update: 02 Jun 2025

Sources: Florida Department of State