| Entity Name: | LAKE RESPIRATORY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Jun 2000 (25 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P00000063224 |
| FEI/EIN Number | 593655058 |
| Address: | 1321 S. BAY STREET, EUSTIS, FL, 32726 |
| Mail Address: | 5506 TRIMBLE PARK RD., MOUNT DORA, FL, 32757 |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205802048 | 2006-02-23 | 2010-07-02 | 1321 S BAY ST, EUSTIS, FL, 327265550, US | 1321 S BAY ST, EUSTIS, FL, 327265550, US | |||||||||||||||||||||||
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| Fax | 3655894355 |
Authorized person
| Name | MR. ALBERT MAIR |
| Role | OWNER |
| Phone | 3655895777 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 853 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022293300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAIR KAREN | Agent | 5506 TRIMBLE PARK RD, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| MAIR AL | President | 1321 S BAY ST., EUSTIS, FL, 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-21 | 1321 S. BAY STREET, EUSTIS, FL 32726 | No data |
| AMENDMENT | 2006-09-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-04 | 1321 S. BAY STREET, EUSTIS, FL 32726 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-01-04 | 5506 TRIMBLE PARK RD, MOUNT DORA, FL 32757 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-21 |
| ANNUAL REPORT | 2010-02-22 |
| ANNUAL REPORT | 2009-02-11 |
| ANNUAL REPORT | 2008-02-01 |
| ANNUAL REPORT | 2007-02-01 |
| Amendment | 2006-09-01 |
| ANNUAL REPORT | 2006-01-04 |
| ANNUAL REPORT | 2005-03-21 |
| ANNUAL REPORT | 2004-01-16 |
| ANNUAL REPORT | 2003-03-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
