| Entity Name: | LAKE WHITNEY PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jun 2013 (12 years ago) |
| Document Number: | L13000085920 |
| FEI/EIN Number | 35-2479187 |
| Address: | 12154 SW BENNINGTON CIRCLE, PORT ST LUCIE, FL, 34987, US |
| Mail Address: | 12154 SW BENNINGTON CIRCLE, PORT ST LUCIE, FL, 34987, US |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598194326 | 2013-11-02 | 2013-11-02 | 579 NW LAKE WHITNEY PL STE 103, PORT ST LUCIE, FL, 349861622, US | 579 NW LAKE WHITNEY PL STE 103, PORT ST LUCIE, FL, 349861622, US | |||||||||||||||
|
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| Phone | +1 772-249-5423 |
| Fax | 7722495347 |
Authorized person
| Name | DR. DUSAN LEKIC |
| Role | OWNER |
| Phone | 7722495423 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEKIC DUSAN | Agent | 12154 SW BENNINGTON CIRCLE, PORT ST LUCIE, FL, 34987 |
| Name | Role | Address |
|---|---|---|
| LEKIC DUSAN | Manager | 1104 SE PINEWOOD TRAIL, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| KUOK I LIN | Managing Member | 1104 SE PINEWOOD TRAIL, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-25 | 12154 SW BENNINGTON CIRCLE, PORT ST LUCIE, FL 34987 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-25 | 12154 SW BENNINGTON CIRCLE, PORT ST LUCIE, FL 34987 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-25 | 12154 SW BENNINGTON CIRCLE, PORT ST LUCIE, FL 34987 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-08 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
