| Entity Name: | CENTRAL FLORIDA IMAGING OF LAKELAND, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Jan 2017 (8 years ago) |
| Date of dissolution: | 13 Dec 2019 (5 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 13 Dec 2019 (5 years ago) |
| Document Number: | L17000005720 |
| FEI/EIN Number | 81-5043013 |
| Address: | 1205 E. MAGNOLIA ST, LAKELAND, FL, 33801, US |
| Mail Address: | 1205 E. MAGNOLIA ST, LAKELAND, FL, 33801, US |
| ZIP code: | 33801 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487180659 | 2017-05-10 | 2017-05-10 | 1205 EAST MAGNOLIA ST, SUITE 109, LAKELAND, FL, 33801, US | 1205 EAST MAGNOLIA ST, SUITE 109, LAKELAND, FL, 33801, US | |||||||||||||||
|
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| Phone | +1 863-274-3636 |
| Fax | 8632743637 |
Authorized person
| Name | MARC OTT |
| Role | PRESIDENT |
| Phone | 4079773434 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KABA CONSULTING INC. | Agent |
| Name | Role | Address |
|---|---|---|
| INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLC | Manager | 425 ALEXANDRIA BLVD STE 1010, OVIEDO, FL, 34765 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000076404 | CENTER FOR IMAGING | EXPIRED | 2019-07-15 | 2024-12-31 | No data | 1205 E MAGNOLIA ST, STE 105, LAKELAND, FL, 33801 |
| G19000076407 | COMPLETE CARE | EXPIRED | 2019-07-15 | 2024-12-31 | No data | 1205 E. MAGNOLIA ST, STE 105, LAKELAND, FL, 33801 |
| G17000012305 | INTEGRATIVE PHYSICAL MEDICINE | EXPIRED | 2017-02-02 | 2022-12-31 | No data | 517 N LAKE PARKER AVE, LAKELAND, FL, 33801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2019-12-13 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L12000112955. MERGER NUMBER 300000198283 |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-18 | 1205 E. MAGNOLIA ST, STE 105, LAKELAND, FL 33801 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-18 | 1205 E. MAGNOLIA ST, STE 105, LAKELAND, FL 33801 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-16 |
| Florida Limited Liability | 2017-01-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
