| Entity Name: | DR. MONICA LAKE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jan 2017 (8 years ago) |
| Document Number: | L17000002951 |
| FEI/EIN Number | 81-4888572 |
| Address: | 10863 Boyette Road, Riverview, FL, 33569, US |
| Mail Address: | 10863 Boyette Road, Riverview, FL, 33569, US |
| ZIP code: | 33569 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427687011 | 2020-04-06 | 2020-04-06 | 10823 BOYETTE RD, RIVERVIEW, FL, 335698012, US | 10823 BOYETTE RD, RIVERVIEW, FL, 335698012, US | |||||||||||||
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| Phone | +1 813-444-8760 |
Authorized person
| Name | DR. MONICA LAKE |
| Role | OWNER |
| Phone | 8134448760 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAKE MONICA P | Agent | 10863 Boyette Road, Riverview, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| LAKE MONICA P | Manager | 10863 Boyette Road, Riverview, FL, 33569 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000067179 | DR. LAKE & ASSOCIATES | ACTIVE | 2020-06-15 | 2025-12-31 | No data | 10823 BOYETTE ROAD, RIVERVIEW, FL, 33569 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-30 | 10863 Boyette Road, Riverview, FL 33569 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-30 | 10863 Boyette Road, Riverview, FL 33569 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-30 | 10863 Boyette Road, Riverview, FL 33569 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-01-13 |
| Florida Limited Liability | 2017-01-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
