| Entity Name: | LAKES ANESTHESIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Mar 2022 (3 years ago) |
| Document Number: | L22000140760 |
| FEI/EIN Number | 88-1701685 |
| Address: | 2100 WEST 76 STREET, SUITE 101, HIALEAH, FL, 33016, US |
| Mail Address: | 2100 WEST 76 STREET, SUITE 101, HIALEAH, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356088512 | 2022-05-18 | 2022-05-18 | 2100 W 76TH ST STE 101, HIALEAH, FL, 330165505, US | 2100 W 76TH ST STE 101, HIALEAH, FL, 330165505, US | |||||||||||||||
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| Phone | +1 305-403-2560 |
| Fax | 7864392282 |
Authorized person
| Name | MRS. DAMARYS VEGA |
| Role | OWNER |
| Phone | 3054032560 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VEGA DAMARYS | Agent | 2100 WEST 76 STREET, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| VEGA DAMARYS | Authorized Member | 2100 WEST 76 STREET SUITE 101, HIALEAH, FL, 33016 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-25 |
| Florida Limited Liability | 2022-03-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
