| Entity Name: | LAKE NONA MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jul 2018 (7 years ago) |
| Document Number: | L18000163806 |
| FEI/EIN Number | 83-1132533 |
| Address: | 115 E Lancaster Rd., Orlando, FL, 32809, US |
| Mail Address: | 115 E Lancaster Rd., Orlando, FL, 32809, US |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285296798 | 2019-07-03 | 2019-07-25 | 115 E LANCASTER RD, ORLANDO, FL, 328096689, US | 115 E LANCASTER RD, ORLANDO, FL, 328096689, US | |||||||||||||||
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| Phone | +1 407-378-6686 |
| Fax | 4073784633 |
Authorized person
| Name | CATHERINE M AREVALO |
| Role | MD |
| Phone | 5615749186 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AREVALO CATHERINE MDR | Agent | 10730 CITRON OAKS DR, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| AREVALO CATHERINE MDR. | Managing Member | 10730 CITRON OAKS DR, ORLANDO, FL, 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-23 | 115 E Lancaster Rd., Suite A, Orlando, FL 32809 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-23 | 115 E Lancaster Rd., Suite A, Orlando, FL 32809 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-01-23 |
| AMENDED ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-04-09 |
| Florida Limited Liability | 2018-07-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
