| Entity Name: | VERIMED HEALTH GROUP LAKELAND, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jun 2014 (11 years ago) |
| Document Number: | L14000093983 |
| FEI/EIN Number | 37-1758927 |
| Address: | 809 S. FLORIDA AVE., LAKELAND, FL, 33803, US |
| Mail Address: | 809 S. FLORIDA AVE., LAKELAND, FL, 33803, US |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013321793 | 2014-06-20 | 2024-07-29 | 809 S FLORIDA AVE, LAKELAND, FL, 338015234, US | 809 S FLORIDA AVE, LAKELAND, FL, 338015234, US | |||||||||||||
|
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| Phone | +1 863-688-5811 |
Authorized person
| Name | MIHEALA SHIELDS |
| Role | ADMINISTRATOR |
| Phone | 8636885811 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REVELLO MARTIN | Agent | 26838 TANIC DRIVE, WESLEY CHAPEL, FL, 33544 |
| Name | Role |
|---|---|
| VERIMED HEALTH GROUP HOLDINGS, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-03 | 809 S. FLORIDA AVE., LAKELAND, FL 33803 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-03 | 809 S. FLORIDA AVE., LAKELAND, FL 33803 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-03-07 |
| ANNUAL REPORT | 2016-03-23 |
| ANNUAL REPORT | 2015-04-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
