| Entity Name: | EHS AT LAKESIDE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Sep 2018 (6 years ago) |
| Document Number: | L18000214006 |
| FEI/EIN Number | 83-1912307 |
| Mail Address: | PO BOX 2764, JUPITER, FL 33468 |
| Address: | 39200 Hooker Hwy, C/O EHS at Lakeside Dr Dan Padron, DO, Belle Glade, FL 33430 |
| ZIP code: | 33430 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275018673 | 2018-10-02 | 2018-10-02 | PO BOX 9414, DAYTONA BEACH, FL, 321209414, US | 39200 HOOKER HWY, BELLE GLADE, FL, 334305368, US | |||||||||||||||||
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| Phone | +1 386-274-7800 |
| Fax | 3862747801 |
| Phone | +1 561-996-6571 |
Authorized person
| Name | KENNETH SCHEPPKE |
| Role | PRESIDENT |
| Phone | 5614362291 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BRENT A. FRIEDMAN, P.A. | Agent |
| Name | Role |
|---|---|
| ELITE MEDICAL SPECIALISTS, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-07 | 78 SW 7th Street, 8th Floor, Miami, FL 33130 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-17 | 39200 Hooker Hwy, C/O EHS at Lakeside Dr Dan Padron, DO, Belle Glade, FL 33430 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | Brent A. Friedman, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-14 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-09-07 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
