| Entity Name: | LOWELL PROFESSIONAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Sep 2007 (17 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P07000102320 |
| FEI/EIN Number | 262518602 |
| Address: | 4821 SOUTH LAKE DRIVE, BOYNTON BEACH, FL, 33435, US |
| Mail Address: | 4821 SOUTH LAKE DRIVE, BOYNTON BEACH, FL, 33435, US |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699105601 | 2013-11-13 | 2013-11-13 | 4821 S LAKE DR, BOYNTON BEACH, FL, 334365910, US | 4821 S LAKE DR, BOYNTON BEACH, FL, 334365910, US | |||||||||||||||||||||||
|
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| Phone | +1 561-573-8343 |
Authorized person
| Name | DR. JAMES ROBERT FRASER |
| Role | OWNER |
| Phone | 5615738343 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME44458 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 02742 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FRASER JAMES RDr. | Agent | 4821 SOUTH LAKE DRIVE, BOYNTON BEACH, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| FRASER JAMES R | President | 4821 S LAKE DR, BOYNTON BCH, FL, 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-26 | 4821 SOUTH LAKE DRIVE, BOYNTON BEACH, FL 33435 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-26 | 4821 SOUTH LAKE DRIVE, BOYNTON BEACH, FL 33435 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-08 | FRASER, JAMES R, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-30 | 4821 SOUTH LAKE DRIVE, BOYNTON BEACH, FL 33436 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-04-26 |
| ANNUAL REPORT | 2014-04-08 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-07-29 |
| ANNUAL REPORT | 2011-04-30 |
| ANNUAL REPORT | 2010-05-04 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-04-30 |
| Domestic Profit | 2007-09-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
