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LIGHTHOUSE HEALTH PLAN, LLC - Florida Company Profile

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Company Details

Entity Name: LIGHTHOUSE HEALTH PLAN, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 18 Oct 2017 (8 years ago)
Date of dissolution: 21 Jun 2023 (2 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 21 Jun 2023 (2 years ago)
Document Number: L17000216087
FEI/EIN Number 82-3182832
Address: 1717 North E Street, Suite 320, Pensacola, FL, 32501, US
Mail Address: 1717 North E Street, Suite 320, Pensacola, FL, 32501, US
ZIP code: 32501
City: Pensacola
County: Escambia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Manager -
Gleason Michael Chief Executive Officer 1717 North E Street, Pensacola, FL, 32501
CALLAHAN ELIZABETH C Agent 1717 NORTH E STREET, PENSACOLA, FL, 32501

National Provider Identifier

NPI Number:
1285109587

Authorized Person:

Name:
SCOTT METHENY
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
302R00000X - Health Maintenance Organization
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2023-06-21 - -
CHANGE OF MAILING ADDRESS 2022-03-25 1717 North E Street, Suite 320, Pensacola, FL 32501 -
CHANGE OF PRINCIPAL ADDRESS 2021-03-16 1717 North E Street, Suite 320, Pensacola, FL 32501 -
LC AMENDMENT 2017-11-01 - -

Documents

Name Date
LC Voluntary Dissolution 2023-06-21
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-06-10
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-03-12
LC Amendment 2017-11-01
Florida Limited Liability 2017-10-18

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Date of last update: 02 Aug 2025

Sources: Florida Department of State