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LAKEWOOD ASC, LLC - Florida Company Profile

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Company Details

Entity Name: LAKEWOOD ASC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Sep 2018 (7 years ago)
Document Number: L18000230305
FEI/EIN Number 37-1912025
Address: 5571 E HWY 44, WILDWOOD, FL, 34785, US
Mail Address: 5571 E HWY 44, WILDWOOD, FL, 34785, 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:
1821565706
Certification Date:
2020-10-21

Authorized Person:

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

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3525716786

Form 5500 Series

Employer Identification Number (EIN):
371912025
Plan Year:
2024
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
26
Sponsors Telephone Number:

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: 02 Aug 2025

Sources: Florida Department of State