Entity Name: | LAKE HOSPITALIST, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 20 Jul 2006 (19 years ago) |
Date of dissolution: | 01 Nov 2012 (12 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 01 Nov 2012 (12 years ago) |
Document Number: | P06000095722 |
FEI/EIN Number | 204892553 |
Address: | 1032 SHORE ACRES DRIVE, LEESBURG, FL, 34748, US |
Mail Address: | 1032 SHORE ACRES DRIVE, LEESBURG, FL, 34748, US |
ZIP code: | 34748 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1396807640 | 2006-12-14 | 2007-07-16 | 1032 SHORE ACRES DR, LEESBURG, FL, 347484506, US | 600 E DIXIE AVE, LEESBURG, FL, 347485925, US | |||||||||||||||||||
|
Phone | +1 352-728-5466 |
Phone | +1 352-323-5762 |
Authorized person
Name | MRS. ADINA M ION |
Role | OWNER |
Phone | 3527285466 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | ME85805 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ION ADINA M | Agent | 1032 SHORE ACRES DRIVE, LEESBURG, FL, 34748 |
Name | Role | Address |
---|---|---|
ION ADINA M | President | 1032 SHORE ACRES DRIVE, LEESBURG, FL, 34748 |
Name | Role | Address |
---|---|---|
ION ADINA M | Secretary | 1032 SHORE ACRES DRIVE, LEESBURG, FL, 34748 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2012-11-01 | No data | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2012-11-01 |
ANNUAL REPORT | 2012-04-15 |
ANNUAL REPORT | 2011-03-10 |
ANNUAL REPORT | 2010-03-11 |
ANNUAL REPORT | 2009-03-10 |
ANNUAL REPORT | 2008-03-31 |
ANNUAL REPORT | 2007-07-16 |
Domestic Profit | 2006-07-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State