| Entity Name: | LAKE NONA PSYCHIATRIC ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Mar 2019 (6 years ago) |
| Document Number: | L19000066095 |
| FEI/EIN Number | 83-4015839 |
| Address: | 8511 ADALINA PLACE, ORLANDO, FL, 32827, US |
| Mail Address: | 8511 ADALINA PLACE, ORLANDO, FL, 32827, US |
| ZIP code: | 32827 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326602566 | 2019-04-23 | 2019-04-23 | 8511 ADALINA PL, ORLANDO, FL, 328277277, US | 8511 ADALINA PL, ORLANDO, FL, 328277277, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 917-605-0645 |
Authorized person
| Name | PETER GANPAT |
| Role | OWNER |
| Phone | 9176050645 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GANPAT PETER | Agent | 8511 ADALINA PLACE, ORLANDO, FL, 32827 |
| Name | Role | Address |
|---|---|---|
| GANPAT PETER | Authorized Member | 8511 ADALINA PLACE, ORLANDO, FL, 32827 |
| Name | Role | Address |
|---|---|---|
| Khan Sonita | Manager | 8511 ADALINA PLACE, ORLANDO, FL, 32827 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-06-30 |
| Florida Limited Liability | 2019-03-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
