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INFECTIOUS DISEASE OF LAKE COUNTY, LLC

Company Details

Entity Name: INFECTIOUS DISEASE OF LAKE COUNTY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 06 Dec 2018 (6 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: L18000280866
Address: 1216 KELLOGG DRIVE, TAVARES, FL, 32778
Mail Address: 1216 KELLOGG DRIVE, TAVARES, FL, 32778
ZIP code: 32778
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639636897 2019-02-25 2019-02-25 2050 CLASSIQUE LN, TAVARES, FL, 327785787, US 2050 CLASSIQUE LN, TAVARES, FL, 327785787, US

Contacts

Phone +1 352-835-2391

Authorized person

Name YULISA ASTUDILLO
Role MANAGER
Phone 3528352391

Taxonomy

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

Agent

Name Role Address
ASTUDILLO YULISA Agent 1216 KELLOGG DRIVE, TAVARES, FL, 32778

Manager

Name Role Address
ASTUDILLO YULISA Manager 1216 KELLOGG DRIVE, TAVARES, FL, 32778

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
Florida Limited Liability 2018-12-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State