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LAKESHORE RHEUMATOLOGY, PLLC - Florida Company Profile

Company Details

Entity Name: LAKESHORE RHEUMATOLOGY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LAKESHORE RHEUMATOLOGY, PLLC 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 21 Jul 2021 (4 years ago)
Document Number: L21000333087
FEI/EIN Number 871845216

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 15532 WEST COLONIAL DRIVE,, WINTER GARDEN, FL, 34787, US
Mail Address: 15532 WEST COLONIAL DRIVE,, WINTER GARDEN, FL, 34787, US
ZIP code: 34787
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHESTNUT BUSINESS SERVICES, LLC Agent -
McCullum Mejia Andrea sole 15532 WEST COLONIAL DRIVE,, WINTER GARDEN, FL, 34787

National Provider Identifier

NPI Number:
1942065677
Certification Date:
2024-02-21

Authorized Person:

Name:
ANDREA NICOLE MCCULLUM MEJIA
Role:
PHYSICIAN, SOLE OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
Yes

Contacts:

Fax:
4075549202

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000003822 LAKESHORE RHEUMATOLOGY ACTIVE 2022-01-10 2027-12-31 - 15532 WEST COLONIAL DRIVE, SUITE C, WINTER GARDEN, FL, 34787

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-12-03 311 PARK PLACE BOULEVARD, SUITE 300, CLEARWATER, FL 33759 -
CHANGE OF PRINCIPAL ADDRESS 2022-02-08 15532 WEST COLONIAL DRIVE,, SUITE C, WINTER GARDEN, FL 34787 -
CHANGE OF MAILING ADDRESS 2022-02-08 15532 WEST COLONIAL DRIVE,, SUITE C, WINTER GARDEN, FL 34787 -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-03-22
ANNUAL REPORT 2023-03-16
ANNUAL REPORT 2022-02-13
Florida Limited Liability 2021-07-21

Date of last update: 03 May 2025

Sources: Florida Department of State