| Entity Name: | CLINICAL PET OF LAKE CITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Nov 2002 (22 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P02000126341 |
| FEI/EIN Number | 352192163 |
| Address: | 3143 SW 32ND AVE, OCALA, FL, 34474 |
| Mail Address: | 3143 SW 32ND AVE, OCALA, FL, 34474 |
| ZIP code: | 34474 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972596450 | 2005-08-30 | 2008-06-09 | PO BOX 773029, OCALA, FL, 344773029, US | 484 SW COMMERCE DR, SUITE 145, LAKE CITY, FL, 320251507, US | |||||||||||||||||||||||||
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| Phone | +1 352-795-0847 |
| Fax | 3527957843 |
| Phone | +1 386-754-3092 |
| Fax | 3867546176 |
Authorized person
| Name | MR. GARESH D ARORA |
| Role | PRESIDENT |
| Phone | 3524946142 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | V2683 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KRUEGER SCOTT D | Agent | 2750 NW 43RD STREET, SUITE 201, GAINESVILLE, FL, 32606 |
| Name | Role | Address |
|---|---|---|
| ARORA GANESH | Director | 1716 SOUTHWEST 82ND DRIVE, GAINESVILLE, FL, 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-23 | 3143 SW 32ND AVE, OCALA, FL 34474 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-23 | 3143 SW 32ND AVE, OCALA, FL 34474 | No data |
| REINSTATEMENT | 2003-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-11 |
| ANNUAL REPORT | 2011-03-23 |
| ANNUAL REPORT | 2010-04-06 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-05-30 |
| ANNUAL REPORT | 2007-02-16 |
| ANNUAL REPORT | 2006-04-07 |
| ANNUAL REPORT | 2005-04-29 |
| ANNUAL REPORT | 2004-04-29 |
| REINSTATEMENT | 2003-10-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
