| Entity Name: | LAKE MARY MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
LAKE MARY MEDICAL SERVICES, LLC 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. |
| 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: | 13 Jan 2015 (10 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L15000007276 |
| FEI/EIN Number |
47-2771042
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4300 WEST LAKE MARY BLVD, STE 1010-378, LAKE MARY, FL 32746 |
| Mail Address: | 4300 WEST LAKE MARY BLVD, STE 1010-378, LAKE MARY, FL 32746 |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699299537 | 2017-08-02 | 2019-03-26 | 4300 W LAKE MARY BLVD STE 1010-378, LAKE MARY, FL, 327462060, US | 4300 W LAKE MARY BLVD STE 1010-378, LAKE MARY, FL, 327462060, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 407-415-5796 |
Authorized person
| Name | MELANIE K. CROSS |
| Role | OWNER |
| Phone | 4074155796 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME89809 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME89809 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | ME89809 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CROSS, MELANIE K | Agent | 4300 WEST LAKE MARY BLVD, STE 1010-378, LAKE MARY, FL 32746 |
| CROSS, MELANIE K | Manager | 4300 WEST LAKE MARY BLVD., STE 1010-378, LAKE MARY, FL 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| REINSTATEMENT | 2016-10-21 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-10-21 | CROSS, MELANIE K | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-05-22 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-02-11 |
| ANNUAL REPORT | 2017-01-22 |
| REINSTATEMENT | 2016-10-21 |
| Florida Limited Liability | 2015-01-13 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
