| Entity Name: | LAKEVIEW HEALTHCARE SYSTEM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 May 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 12 Nov 2021 (3 years ago) |
| Document Number: | L16000105609 |
| FEI/EIN Number | 59-3725900 |
| Address: | 10250 SE 167TH PL RD STE 5-1, SUMMERFIELD, FL, 34491, US |
| Mail Address: | 18550 US HWY 441 STE A, MOUNT DORA, FL, 32757, US |
| ZIP code: | 34491 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215694674 | 2021-11-19 | 2021-11-19 | 410 FERN DRIVE, LEESBURG, FL, 34748, US | 410 FERN DRIVE, LEESBURG, FL, 34748, US | |||||||||||||||
|
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| Phone | +1 352-218-8200 |
| Fax | 3524350690 |
Authorized person
| Name | KHAI SHENG CHANG |
| Role | OWNER |
| Phone | 3522188200 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CHANG KHAI SMD | Chief Executive Officer | 18550 US HWY 441, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| Bhattarai Birendra | BOAR | 18550 US Hwy 441, Mount Dora, FL, 32757 |
| Bisht Ajay HMD | BOAR | 18550 US Hwy 441, Mount Dora, FL, 32757 |
| Aung MA T | BOAR | 18550 US Hwy 441, Mount Dora, FL, 32757 |
| Zaman Waheeduz S | BOAR | 18550 US Hwy 441, Mount Dora, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| Cheema Shahbaz A | Chief Financial Officer | 18550 US Hwy 441, Mount Dora, FL, 32757 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000072942 | LAKEVIEW INTERNAL MEDICINE | ACTIVE | 2016-07-22 | 2026-12-31 | No data | CHANG, 18550 US HWY 441, MOUNT DORA, FL, 32757 |
| G16000069938 | LAKEVIEW MEDICAL SPECIALTIES | EXPIRED | 2016-07-15 | 2021-12-31 | No data | 10250 SE 167TH PLACE RD STE 5-1, SUMMERFIELD, FL, 34491 |
| G16000069577 | LAKEVIEW INTERNAL MEDICNE | ACTIVE | 2016-07-14 | 2026-12-31 | No data | 18550 US HWY 441, MOUNT DORA, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-09-20 | NRAI Services, Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-09-20 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| LC AMENDMENT | 2021-11-12 | No data | No data |
| CONVERSION | 2016-05-26 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P01000040409. CONVERSION NUMBER 100000161731 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-02-16 |
| AMENDED ANNUAL REPORT | 2022-12-22 |
| AMENDED ANNUAL REPORT | 2022-09-20 |
| ANNUAL REPORT | 2022-02-03 |
| LC Amendment | 2021-11-12 |
| ANNUAL REPORT | 2021-02-27 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
