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FLORIDA LAKES ANESTHESIA, LLC - Florida Company Profile

Company Details

Entity Name: FLORIDA LAKES ANESTHESIA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FLORIDA LAKES ANESTHESIA, LLC 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: 08 Jun 2022 (3 years ago)
Document Number: L22000262274
FEI/EIN Number 88-2891433

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

Address: 4759 LAKEVIEW DRIVE, SEBRING, FL, 33870
Mail Address: 4759 LAKEVIEW DRIVE, SEBRING, FL, 33870
ZIP code: 33870
County: Highlands
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023731239 2022-09-22 2022-09-22 4759 LAKEVIEW DR, SEBRING, FL, 338702005, US 4759 LAKEVIEW DR, SEBRING, FL, 338702005, US

Contacts

Phone +1 863-402-5600
Fax 8634025602

Authorized person

Name THOMAS LACKEY II
Role OWNER
Phone 8634025600

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes

Key Officers & Management

Name Role Address
LACKEY THOMAS CII Authorized Member 4759 LAKEVIEW DRIVE, SEBRING, FL, 33870
Ahmadi Bahram Auth 4759 LAKEVIEW DRIVE, SEBRING, FL, 33870
LACKEY THOMAS CII Agent 4759 LAKEVIEW DRIVE, SEBRING, FL, 33870

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-07-11
Florida Limited Liability 2022-06-08

Date of last update: 02 Apr 2025

Sources: Florida Department of State