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LAKEWOOD CCL, LLC - Florida Company Profile

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Company Details

Entity Name: LAKEWOOD CCL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Sep 2018 (7 years ago)
Document Number: L18000230292
FEI/EIN Number 38-4095676
Address: 5571 E HWY 44, WILDWOOD, FL, 34785
Mail Address: 308 W HIGHLAND BLVD, INVERNESS, FL, 34452, US
ZIP code: 34785
City: Wildwood
County: Sumter
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ATTANTI SRINIVAS Authorized Member 308 W HIGHLAND BLVD, INVERNESS, FL, 34452
DELOACH JERRALD Agent 308 W HIGHLAND BLVD, INVERNESS, FL, 34452

National Provider Identifier

NPI Number:
1922575802

Authorized Person:

Name:
MR. JOSE A RIVERA
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3525716787

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-22 DELOACH, JERRALD -

Documents

Name Date
ANNUAL REPORT 2024-03-22
ANNUAL REPORT 2023-04-16
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-03-23
ANNUAL REPORT 2020-05-29
ANNUAL REPORT 2019-04-01
Florida Limited Liability 2018-09-27

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Date of last update: 01 Aug 2025

Sources: Florida Department of State