| Entity Name: | LAKE SPEECH AND LANGUAGE EVALUATION AND TREATMENT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Aug 2008 (17 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P08000076728 |
| FEI/EIN Number | 26-3233621 |
| Address: | 835 7TH ST. SUITE 6, CLERMONT, FL 34711 |
| Mail Address: | 835 7TH ST. SUITE 6, CLERMONT, FL 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821385337 | 2011-07-05 | 2011-07-05 | 835 7TH ST, SUITE 7, CLERMONT, FL, 347112190, US | 835 7TH ST, SUITE 7, CLERMONT, FL, 347112190, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 352-432-3998 |
| Fax | 3524323999 |
Authorized person
| Name | ELIZABETH S LOBAINA |
| Role | DIRECTOR/ OWNER |
| Phone | 3524323998 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA8291 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA8887 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA8158 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002940100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 892301900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Pavon, William | Agent | 835 7TH ST. SUITE 6, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| LOBAINA, ELIZABETH S | Director | 835 7TH ST. SUITE 6, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| PAVON, WILLIAM R | Vice President | 835 7TH ST. SUITE 6, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| PAVON, WILLIAM R | Chief Operating Officer | 835 7TH ST. SUITE 6, CLERMONT, FL 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-01 | Pavon, William | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-26 | 835 7TH ST. SUITE 6, CLERMONT, FL 34711 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-25 | 835 7TH ST. SUITE 6, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2017-10-25 | 835 7TH ST. SUITE 6, CLERMONT, FL 34711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-31 |
| ANNUAL REPORT | 2015-01-15 |
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-09-11 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
