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LAKEVIEW SURGERY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: LAKEVIEW SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Aug 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 20 Oct 2021 (4 years ago)
Document Number: L21000380761
FEI/EIN Number 87-2359088
Mail Address: 102 W. Pineloch Ave., Suite 23, ORLANDO, FL, 32806, US
Address: 7448 Docs Grove Circle, Suite 108, ORLANDO, FL, 32819, US
ZIP code: 32819
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Manager -
Heeter Colleen Auth 1414 KUHL AVE,, ORLANDO, FL, 32806
OHE GREG Auth 1414 KUHL AVE., ORLANDO, FL, 32806
MARCKE THIBAUT V Auth 1414 KUHL AVE., ORLANDO, FL, 32806
ZIKA RYAN Agent 207 W. Gore St., Suite 201, ORLANDO, FL, 32806

National Provider Identifier

NPI Number:
1952071920
Certification Date:
2021-12-06

Authorized Person:

Name:
JAN LESLIE DIEDRICH
Role:
SENIOR DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000133034 LAKEVIEW SURGERY CENTER ACTIVE 2021-10-04 2026-12-31 - 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-02-08 7448 Docs Grove Circle, Suite 108, ORLANDO, FL 32819 -
CHANGE OF PRINCIPAL ADDRESS 2022-03-16 7448 Docs Grove Circle, Suite 108, ORLANDO, FL 32819 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-16 207 W. Gore St., Suite 201, ORLANDO, FL 32806 -
LC AMENDMENT 2021-10-20 - -

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-03-16
Florida Limited Liability 2021-08-25

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Date of last update: 01 Jul 2025

Sources: Florida Department of State