| Entity Name: | LAKE MARY MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 May 2007 (18 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P07000055332 |
| FEI/EIN Number | 510635004 |
| Address: | 3629 LAKE EMMA RD, LAKE MARY, FL, 32746, US |
| Mail Address: | PO BOX 292456, DAVIE, FL, 33329, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437451887 | 2010-11-17 | 2010-11-17 | 3629 LAKE EMMA RD, LAKE MARY, FL, 327466199, US | 3629 LAKE EMMA RD, LAKE MARY, FL, 327466199, US | |||||||||||||||
|
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| Phone | +1 407-333-7995 |
| Fax | 4073337996 |
Authorized person
| Name | MRS. MARY HARRISON |
| Role | VICE PRESIDENT |
| Phone | 4073337995 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAY LEONA J | Agent | 4321 NW 7TH ST, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| HARRISON CALVIN | President | 1161 NW 99TH AVE, PLANTATION, FL, 33322 |
| Name | Role | Address |
|---|---|---|
| HARRISON MARY | Vice President | 1161 NW 99TH AVE, PLANTATION, FL, 33322 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-03 | 3629 LAKE EMMA RD, LAKE MARY, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-03 | 3629 LAKE EMMA RD, LAKE MARY, FL 32746 | No data |
| NAME CHANGE AMENDMENT | 2009-08-06 | LAKE MARY MEDICAL CENTER INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-26 |
| ANNUAL REPORT | 2010-03-03 |
| Name Change | 2009-08-06 |
| ANNUAL REPORT | 2009-04-19 |
| ANNUAL REPORT | 2008-04-29 |
| Domestic Profit | 2007-05-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
