| Entity Name: | LAKELAND ALLERGY, ASTHMA & IMMUNOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Aug 2018 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 26 Aug 2019 (5 years ago) |
| Document Number: | L18000201823 |
| FEI/EIN Number | 831698562 |
| Address: | 4325 HIGHLAND PARK BLVD, LAKELAND, FL, 33813, US |
| Mail Address: | 137 SHANNON OAKS DR, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861950008 | 2019-03-06 | 2019-04-04 | 4325 HIGHLAND PARK BLVD, LAKELAND, FL, 338131671, US | 4325 HIGHLAND PARK BLVD, LAKELAND, FL, 338131671, US | |||||||||||||||
|
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| Phone | +1 863-213-1010 |
| Phone | +1 305-318-6096 |
Authorized person
| Name | KATHRYN D CONVERS |
| Role | SOLE MEMBER |
| Phone | 3053186096 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MULLINS DAVID LCPA | Agent | FARNSWORTH & MULLINS PA, LAKELAND, FL, 33803 |
| Name | Role | Address |
|---|---|---|
| CONVERS KATHRYN DMD | Authorized Member | 137 SHANNON OAKS DRIVE, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-28 | MULLINS, DAVID L, CPA | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-30 | 4325 HIGHLAND PARK BLVD, LAKELAND, FL 33813 | No data |
| LC STMNT OF RA/RO CHG | 2019-08-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-08-26 | FARNSWORTH & MULLINS PA, 1623 HARDEN BLVD, LAKELAND, FL 33803 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-18 | 4325 HIGHLAND PARK BLVD, LAKELAND, FL 33813 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-04-30 |
| CORLCRACHG | 2019-08-26 |
| ANNUAL REPORT | 2019-03-13 |
| Florida Limited Liability | 2018-08-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
