| Entity Name: | INTERNAL MEDICINE ASSOCIATES OF LAKE COUNTY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
INTERNAL MEDICINE ASSOCIATES OF LAKE COUNTY, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: | 12 Apr 2000 (25 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 05 Oct 2007 (18 years ago) |
| Document Number: | P00000036849 |
| FEI/EIN Number |
651005052
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 801 E. DIXIE AVENUE, LEESBURG, FL, 34748, US |
| Mail Address: | 801 E. DIXIE AVENUE, LEESBURG, FL, 34748, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285611210 | 2005-12-30 | 2015-04-02 | 619 W DIXIE AVE, LEESBURG, FL, 347482602, US | 619 W DIXIE AVE, LEESBURG, FL, 347482602, US | |||||||||||||||||||||||||||
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| Phone | +1 352-314-2424 |
| Fax | 3523143010 |
Authorized person
| Name | DR. GREGORY MARK BROWN |
| Role | PRESIDENT |
| Phone | 3523142424 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FLORIDA |
| Number | 45358 |
| State | FL |
| Issuer | MEDICAID |
| Number | 259964300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROWN GREGORY MDr. | President | 801 E. DIXIE AVENUE, LEESBURG, FL, 34748 |
| BROWN GREGORY MDr. | Agent | 801 E. DIXIE AVENUE, LEESBURG, FL, 34748 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-04-17 | 801 E. DIXIE AVENUE, SUITE 107A, LEESBURG, FL 34748 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-17 | 801 E. DIXIE AVENUE, SUITE 107A, LEESBURG, FL 34748 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-24 | 801 E. DIXIE AVENUE, SUITE 107A, LEESBURG, FL 34748 | - |
| REGISTERED AGENT NAME CHANGED | 2014-04-21 | BROWN, GREGORY M, Dr. | - |
| CANCEL ADM DISS/REV | 2007-10-05 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-04-10 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-01-13 |
Date of last update: 03 May 2025
Sources: Florida Department of State
