| Entity Name: | SOUTH LAKE ARTHRITIS AND RHEUMATOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SOUTH LAKE ARTHRITIS AND RHEUMATOLOGY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 05 Nov 2018 (6 years ago) |
| Document Number: | L18000258494 |
| FEI/EIN Number |
83-2463036
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1259 LATTIMORE DR, CLERMONT, FL, 34711, US |
| Mail Address: | 1259 LATTIMORE DR, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992269351 | 2019-01-29 | 2019-01-29 | 1259 LATTIMORE DR, CLERMONT, FL, 347119034, US | 1745 E HWY 50, CLERMONT, FL, 347115037, US | |||||||||||||||||||||||
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| Phone | +1 612-607-9564 |
| Phone | +1 863-606-8714 |
| Fax | 8635830470 |
Authorized person
| Name | DR. USMAN TANVEER MALIK |
| Role | OWNER |
| Phone | 6126079564 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9260700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MALIK USMAN T | Authorized Member | 1259 LATTIMORE DR, CLERMONT, FL, 34711 |
| MALIK USMAN T | Agent | 1259 LATTIMORE DR, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-04 | 1259 LATTIMORE DR, CLERMONT, FL 34711 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-26 |
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-26 |
| Florida Limited Liability | 2018-11-05 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
