| Entity Name: | LAKESIDE MEDICAL CENTER AND FAMILY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Aug 1988 (37 years ago) |
| Document Number: | M92174 |
| FEI/EIN Number | 592902363 |
| Address: | 4710 S FLA. AVE., LAKELAND, FL, 33813 |
| Mail Address: | 4710 S FLA. AVE., LAKELAND, FL, 33813 |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BARRIOS JUAN N. MD | Agent | 521 BUENA VISTA, LAKELAND, FL, 33805 |
| Name | Role | Address |
|---|---|---|
| BARRIOS, JUAN, MD | Director | 521 BUENA VISTA, LAKELAND, FL |
| VENNUM KEITH B. MD | Director | 1429 LAKELAND HILLS BLVD., LAKELAND, FL |
| EISSMAN, ROBERT | Director | 4710 S. FLORIDA AVE., LAKELAND, FL |
| IZSAK, MOSHE, MD | Director | 1222 S FLORIDA AVE, LAKELAND, FL |
| Name | Role | Address |
|---|---|---|
| BARRIOS, JUAN, MD | President | 521 BUENA VISTA, LAKELAND, FL |
| Name | Role | Address |
|---|---|---|
| VENNUM KEITH B. MD | Secretary | 1429 LAKELAND HILLS BLVD., LAKELAND, FL |
| Name | Role | Address |
|---|---|---|
| VENNUM KEITH B. MD | Treasurer | 1429 LAKELAND HILLS BLVD., LAKELAND, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| AMENDMENT | 1993-10-22 | No data | No data |
| AMENDMENT | 1991-10-28 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
