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W. SAND LAKE MEDICAL GROUP, LLC - Florida Company Profile

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Company Details

Entity Name: W. SAND LAKE MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

W. SAND LAKE MEDICAL GROUP, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 01 Oct 2015 (10 years ago)
Date of dissolution: 27 Sep 2019 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (6 years ago)
Document Number: L15000167675
FEI/EIN Number 47-5334432

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2328 10TH AVE N STE 301, LAKE WORTH, FL, 33461
Mail Address: 2328 10TH AVE N STE 301, LAKE WORTH, FL, 33461
ZIP code: 33461
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DORAN TIMOTHY Manager 2328 10TH AVE N, LAKE WORTH, FL, 33461
CHIEFFALLO CARA Agent NASON YEAGER ETAL, PALM BEACH GARDENS, FL, 33410

National Provider Identifier

NPI Number:
1558726257

Authorized Person:

Name:
NICK MATTEO
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
207RA0401X - Addiction Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-10-01 2328 10TH AVE N STE 301, LAKE WORTH, FL 33461 -
CHANGE OF MAILING ADDRESS 2025-10-01 2328 10TH AVE N STE 301, LAKE WORTH, FL 33461 -
CHANGE OF MAILING ADDRESS 2024-10-01 2328 10TH AVE N STE 301, LAKE WORTH, FL 33461 -
CHANGE OF PRINCIPAL ADDRESS 2024-10-01 2328 10TH AVE N STE 301, LAKE WORTH, FL 33461 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REGISTERED AGENT NAME CHANGED 2018-03-09 CHIEFFALLO, CARA -
REGISTERED AGENT ADDRESS CHANGED 2018-03-09 NASON YEAGER ETAL, 3001 PGA BLVD., #305, PALM BEACH GARDENS, FL 33410 -

Documents

Name Date
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-01-27
ANNUAL REPORT 2016-03-29
Florida Limited Liability 2015-10-01

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Date of last update: 02 Jun 2025

Sources: Florida Department of State