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LAKE HOSPITALIST, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ION ADINA M Agent 1032 SHORE ACRES DRIVE, LEESBURG, FL, 34748

President

Name Role Address
ION ADINA M President 1032 SHORE ACRES DRIVE, LEESBURG, FL, 34748

Secretary

Name Role Address
ION ADINA M Secretary 1032 SHORE ACRES DRIVE, LEESBURG, FL, 34748

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2012-11-01 No data No data

Documents

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