| Entity Name: | LAKE SUMTER PODIATRIC MEDICAL ASSOCIATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 15 Mar 2019 (6 years ago) |
| Document Number: | N19000003000 |
| FEI/EIN Number | 84-4544870 |
| Address: | 1807 SALK AVENUE, TAVARES, FL, 32778 |
| Mail Address: | 1807 SALK AVENUE, TAVARES, FL, 32778 |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| WINN JASON DESQ | Agent | 2709 KILLARNEY WAY, TALLAHASSEE, FL, 32309 |
| Name | Role | Address |
|---|---|---|
| Watkins Chad DPM | President | 914 East Dixie Avenue, Leesburg, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| Emelianchik Anthony JDPM | Vice President | 2051 Prevatt Street, Eustis, FL, 32726 |
| Name | Role | Address |
|---|---|---|
| FERGUSON BREANNA DPM | Secretary | 870 S. Duncan Drive, Tavares, FL, 32778 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-22 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-28 |
| Domestic Non-Profit | 2019-03-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
