| Entity Name: | LAKE PARK MEDICAL CARE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 Jun 1990 (35 years ago) |
| Date of dissolution: | 28 Jan 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Jan 2019 (6 years ago) |
| Document Number: | L83166 |
| FEI/EIN Number | 65-0204468 |
| Address: | C/O TERESA DELGADO, M.D., 415 FEDERAL HWY STE D, LAKE PARK, FL 33403 |
| Mail Address: | C/O TERESA DELGADO, M.D., 920 Via Villagio, Hypoluxo, FL 33462 |
| ZIP code: | 33403 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245389311 | 2007-01-09 | 2011-05-03 | 415 US HIGHWAY 1, SUITE D, LAKE PARK, FL, 334033585, US | 415 US HIGHWAY 1, SUITE D, LAKE PARK, FL, 334033585, US | |||||||||||||||||||
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| Phone | +1 561-842-5900 |
| Fax | 5618446037 |
Authorized person
| Name | KAREN BARLOW |
| Role | OWNER BILLING COMPANY |
| Phone | 5617482889 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME0048980 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DELGADO, TERESA M | Agent | 415 FEDERAL HWY, STE D, LAKE PARK, FL 33403 |
| Name | Role | Address |
|---|---|---|
| DELGADO, TERESA MD | President | 415 FEDERAL HWY STE D, LAKE PARK, FL |
| Name | Role | Address |
|---|---|---|
| DELGADO, TERESA MD | Director | 415 FEDERAL HWY STE D, LAKE PARK, FL |
| NICKLER, RICHARD D | Director | 415 FEDERAL HWY STE D, LAKE PARK, FL |
| Name | Role | Address |
|---|---|---|
| NICKLER, RICHARD D | Secretary | 415 FEDERAL HWY STE D, LAKE PARK, FL |
| Name | Role | Address |
|---|---|---|
| NICKLER, RICHARD D | Treasurer | 415 FEDERAL HWY STE D, LAKE PARK, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-01-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-25 | C/O TERESA DELGADO, M.D., 415 FEDERAL HWY STE D, LAKE PARK, FL 33403 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-04-27 | C/O TERESA DELGADO, M.D., 415 FEDERAL HWY STE D, LAKE PARK, FL 33403 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-04-27 | 415 FEDERAL HWY, STE D, LAKE PARK, FL 33403 | No data |
| REGISTERED AGENT NAME CHANGED | 1996-02-07 | DELGADO, TERESA M | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-01-28 |
| ANNUAL REPORT | 2018-02-25 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-02-03 |
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-02-08 |
| ANNUAL REPORT | 2011-04-07 |
| ANNUAL REPORT | 2010-04-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
