| Entity Name: | LAKE CITY BIRTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jun 2014 (11 years ago) |
| Document Number: | L14000095222 |
| FEI/EIN Number | 47-1105253 |
| Address: | 27619 25th Place, Branford, FL, 32008, US |
| Mail Address: | 1468 SW Main Blvd, Ste 105-94, Lake City, FL, 32025, US |
| ZIP code: | 32008 |
| County: | Suwannee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285040097 | 2014-07-01 | 2014-07-01 | 5113 256TH ST, O BRIEN, FL, 320714435, US | 5113 256TH ST, O BRIEN, FL, 320714435, US | |||||||||||||||||||
|
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| Phone | +1 386-299-0698 |
| Fax | 8008535087 |
Authorized person
| Name | ANGELA FENNELL |
| Role | OWNER |
| Phone | 3862880698 |
Taxonomy
| Taxonomy Code | 261QB0400X - Birthing Clinic/Center |
| License Number | MW 294 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FENNELL ANGELA J | Agent | 27619 25th Place, Branford, FL, 32008 |
| Name | Role | Address |
|---|---|---|
| FENNELL ANGELA J | Authorized Representative | 27619 25th Place, Branford, FL, 32008 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-23 | 27619 25th Place, Branford, FL 32008 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-23 | 27619 25th Place, Branford, FL 32008 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-17 | 27619 25th Place, Branford, FL 32008 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-11 |
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-02-24 |
| ANNUAL REPORT | 2016-03-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
