| Entity Name: | PALM MEDICAL CENTER LAKELAND, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PALM MEDICAL CENTER LAKELAND, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 24 Jan 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 25 Oct 2024 (6 months ago) |
| Document Number: | L18000020947 |
| FEI/EIN Number |
371879497
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 135 E 1ST ST, LAKELAND, FL, 33805-4609, US |
| Mail Address: | 2600 DOUGLAS RD,, CORAL GABLES, FL, 33134, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346005675 | 2024-02-15 | 2024-02-15 | 2600 S DOUGLAS RD STE 308, CORAL GABLES, FL, 331346134, US | 249 US HIGHWAY 27 N, SEBRING, FL, 338702132, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-538-7880 |
| Phone | +1 863-593-4333 |
| Fax | 8634530745 |
Authorized person
| Name | SANTIAGO MOISES MARTIN |
| Role | PRESIDENT OF CENTER OPERATIONS |
| Phone | 3059139441 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent | - |
| CASILLAS PATRICIO | Chief Operating Officer | 135 E 1ST ST, LAKELAND, FL, 338054609 |
| CHOUDHRY FOWAD | Chief Executive Officer | 135 E 1ST ST, LAKELAND, FL, 338054609 |
| LEAL JUAN | Vice President | 135 E 1ST ST, LAKELAND, FL, 338054609 |
| LEAL JUAN | Founder | 135 E 1ST ST, LAKELAND, FL, 338054609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-10-25 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-25 | 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-31 | 135 E 1ST ST, LAKELAND, FL 33805-4609 | - |
| Name | Date |
|---|---|
| LC Amendment | 2024-10-25 |
| ANNUAL REPORT | 2024-04-04 |
| AMENDED ANNUAL REPORT | 2023-10-19 |
| ANNUAL REPORT | 2023-01-19 |
| AMENDED ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2022-01-04 |
| AMENDED ANNUAL REPORT | 2021-11-22 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-03-27 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
