| Entity Name: | LAKESIDE OF ORLANDO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Jun 2002 (23 years ago) |
| Date of dissolution: | 29 Dec 2014 (10 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 29 Dec 2014 (10 years ago) |
| Document Number: | P02000065747 |
| FEI/EIN Number | 06-1660818 |
| Address: | 7527 ULMERTON ROAD, LARGO, FL 33771 |
| Mail Address: | 7527 ULMERTON ROAD, LARGO, FL 33771 |
| ZIP code: | 33771 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386961894 | 2010-04-23 | 2014-07-23 | 7527 ULMERTON RD, LARGO, FL, 337714548, US | 2314 N ORANGE BLOSSOM TRL, ORLANDO, FL, 328044803, US | |||||||||||||||||||||||
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| Phone | +1 727-586-0138 |
| Fax | 7275866954 |
| Phone | +1 407-428-9233 |
| Fax | 4074289667 |
Authorized person
| Name | ARLENE GUZIK |
| Role | VP OPERATION, ASSISTANT MEDICAL DIR |
| Phone | 7275327644 |
Taxonomy
| Taxonomy Code | 261QX0100X - Occupational Medicine Clinic/Center |
| License Number | ME25396 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON, RICHARD F, MD | Agent | 4548 CLEARWATER HARBOR DRIVE SOUTH, LARGO, FL 33770 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, RICHARD F | President | 4548 CLEARWATER HARBOR DRIVE SOUTH, LARGO, FL 33770 |
| Name | Role | Address |
|---|---|---|
| JACOBSEN, BRENDA L | Vice President | 7527 ULMERTON ROAD, LARGO, FL 33771 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000020666 | LAKESIDE MEDICAL URGENT CARE | EXPIRED | 2011-02-24 | 2016-12-31 | No data | 7527 ULMERTON ROAD, LARGO, FL, 33771 |
| G10000018267 | OCOEE FAMILY MEDICAL CENTER | EXPIRED | 2010-02-25 | 2015-12-31 | No data | 7527 ULMERTON ROAD, LARGO, FL, 33771 |
| G10000018269 | LAKEPOINT FAMILY MEDICAL CENTER | EXPIRED | 2010-02-25 | 2015-12-31 | No data | 7527 ULMERTON ROAD, LARGO, FL, 33771 |
| G10000018274 | MAINSTREET MEDICAL CENTER | EXPIRED | 2010-02-25 | 2015-12-31 | No data | 7527 ULMERTON ROAD, LARGO, FL, 33771 |
| G10000018270 | REGENCY FAMILY MEDICAL CENTER | EXPIRED | 2010-02-25 | 2015-12-31 | No data | 7527 ULMERTON ROAD, LARGO, FL, 33771 |
| G10000015669 | LAKESIDE MEDICAL CENTER MAINSTREET | EXPIRED | 2010-02-19 | 2015-12-31 | No data | 8723 INTERNATIONAL DRIVE, SUITE 115, ORLANDO, FL, 32819 |
| G10000015670 | LAKESIDE MEDICAL CENTER OCOEE | EXPIRED | 2010-02-19 | 2015-12-31 | No data | 10872 W COLONIAL DRIVE, OCOEE, FL, 34761 |
| G10000015671 | LAKESIDE MEDICAL CENTER REGENCY | EXPIRED | 2010-02-19 | 2015-12-31 | No data | 9815 S. ORANGE BLOSSSOM TRAIL, ORLANDO, FL, 32837 |
| G10000015672 | LAKESIDE MEDICAL CENTER LAKEPOINT | EXPIRED | 2010-02-18 | 2015-12-31 | No data | 3303 S. SEMORAN BLVD., ORLANDO, FL, 32822 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2014-12-29 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS 526379. MERGER NUMBER 300000147833 |
| AMENDMENT | 2014-04-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-09 | JOHNSON, RICHARD F, MD | No data |
| AMENDMENT AND NAME CHANGE | 2010-01-20 | LAKESIDE OF ORLANDO, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-21 | 7527 ULMERTON ROAD, LARGO, FL 33771 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-21 | 7527 ULMERTON ROAD, LARGO, FL 33771 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-01-12 | 4548 CLEARWATER HARBOR DRIVE SOUTH, LARGO, FL 33770 | No data |
| NAME CHANGE AMENDMENT | 2002-11-25 | WORKSITE REHABILITATION & WELLNESS, INC. | No data |
| Name | Date |
|---|---|
| Amendment | 2014-04-24 |
| ANNUAL REPORT | 2014-04-07 |
| ANNUAL REPORT | 2013-04-09 |
| ANNUAL REPORT | 2012-04-02 |
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-01-23 |
| Amendment and Name Change | 2010-01-20 |
| ANNUAL REPORT | 2009-03-23 |
| ANNUAL REPORT | 2008-01-21 |
| ANNUAL REPORT | 2007-02-11 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
