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LAKEVIEW SPECIALIST GROUP LLC

Company Details

Entity Name: LAKEVIEW SPECIALIST GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 28 Jul 2014 (11 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: L14000117735
Address: 10250 SE 167TH PLACE RD, STE 5-1, SUMMERFIELD, FL, 34491
Mail Address: 10250 SE 167TH PLACE RD, STE 5-1, SUMMERFIELD, FL, 34491
ZIP code: 34491
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043869332 2019-09-09 2019-09-12 10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL, 344918682, US 10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL, 344918682, US

Contacts

Phone +1 352-307-9925

Authorized person

Name KHAI CHANG
Role OWNER
Phone 3523079925

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

Agent

Name Role Address
LAKEVIEW INTERNAL MEDICINE PA Agent 10250 SE 167TH PLACE RD, SUMMERFIELD, FL, 34491

Manager

Name Role Address
LAKEVIEW INTERNAL MEDICINE PA Manager 10250 SE 167TH PLACE RD STE 5-1, SUMMERFIELD, FL, 34491

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

Name Date
Florida Limited Liability 2014-07-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State