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PALM MEDICAL CENTER LAKELAND, LLC - Florida Company Profile

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Company Details

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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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 (8 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

Key Officers & Management

Name Role Address
ALVAREZ JORGE Vice President 135 E 1ST ST, LAKELAND, FL, 33805
CORPORATE CREATIONS NETWORK INC. Agent -
CHOUDHRY FOWAD Chief Executive Officer 135 E 1ST ST, LAKELAND, FL, 338054609
LEAL JUAN Chief Financial Officer 135 E 1ST ST, LAKELAND, FL, 33805
ALVAREZ JORGE Secretary 135 E 1ST ST, LAKELAND, FL, 33805

National Provider Identifier

NPI Number:
1346005675
Certification Date:
2024-02-15

Authorized Person:

Name:
SANTIAGO MOISES MARTIN
Role:
PRESIDENT OF CENTER OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8634530745

Events

Event Type Filed Date Value Description
LC AMENDMENT 2025-03-12 - -
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 -

Documents

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

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Date of last update: 03 Jul 2025

Sources: Florida Department of State