| Entity Name: | SOUTH LAKE MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SOUTH LAKE MEDICINE, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Sep 2002 (23 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | P02000101115 |
| FEI/EIN Number |
470888339
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3190 CITRUS TOWER BLVD., STE. B, CLERMONT, FL, 34711 |
| Mail Address: | 3190 CITRUS TOWER BLVD., STE. B, CLERMONT, FL, 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699940635 | 2008-04-29 | 2010-07-12 | 3190 CITRUS TOWER BLVD, CLERMONT, FL, 347116802, US | 3190 CITRUS TOWER BLVD, CLERMONT, FL, 347116802, US | |||||||||||||||||||
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| Phone | +1 352-242-2282 |
| Fax | 3522422886 |
Authorized person
| Name | DR. HANXIAN HUANG |
| Role | OWNER |
| Phone | 3522422282 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| License Number | ME83976 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUANG HANXIAN M | Director | 3190 CITRUS TOWER BLVD, STE B, CLERMONT, FL, 34711 |
| WALKER GARY | Agent | 100 S. ASHLEY DRIVE, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-09 | 3190 CITRUS TOWER BLVD., STE. B, CLERMONT, FL 34711 | - |
| CHANGE OF MAILING ADDRESS | 2011-01-09 | 3190 CITRUS TOWER BLVD., STE. B, CLERMONT, FL 34711 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-07-14 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-03-21 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-03-19 |
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-03-22 |
| ANNUAL REPORT | 2014-03-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2951067801 | 2020-05-25 | 0491 | PPP | 3190 Citrus Tower Boulevard, Clermont, FL, 34711 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
