| Entity Name: | LANSKY MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Mar 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Oct 2024 (4 months ago) |
| Document Number: | L16000055159 |
| FEI/EIN Number | 81-1863304 |
| Address: | 3900 S. GOLDENROD RD., 142, ORLANDO, FL, 32822 |
| Mail Address: | 3900 S. GOLDENROD RD., 142, ORLANDO, FL, 32822 |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013379015 | 2016-03-28 | 2016-03-28 | 3900 S GOLDENROD RD STE 142, ORLANDO, FL, 328225629, US | 3900 S GOLDENROD RD STE 142, ORLANDO, FL, 328225629, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-985-3916 |
| Fax | 4079853917 |
Authorized person
| Name | MEYER LANSKY |
| Role | OWNER |
| Phone | 4079853916 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ACN597 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013637800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LANSKY MEYER | Agent | 3900 S. GOLDENROD RD, ORLANDO, FL, 32822 |
| Name | Role | Address |
|---|---|---|
| LANSKY MEYER | Authorized Member | 3900 S. GOLDENROD RD. STE 142, ORLANDO, FL, 32822 |
| ORMAZA NIYISKY | Authorized Member | 3900 S. GOLDENROD RD., ORLANDO, FL, 32822 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-10-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2023-07-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-10-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-13 | LANSKY, MEYER | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-11 |
| REINSTATEMENT | 2023-07-25 |
| REINSTATEMENT | 2021-10-13 |
| AMENDED ANNUAL REPORT | 2020-08-19 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-27 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-03-15 |
| Florida Limited Liability | 2016-03-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
