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LAKE CITY INSTITUTE OF NEUROLOGY, P.A. - Florida Company Profile

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Company Details

Entity Name: LAKE CITY INSTITUTE OF NEUROLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LAKE CITY INSTITUTE OF NEUROLOGY, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Jul 2011 (14 years ago)
Document Number: P11000064671
FEI/EIN Number 452778883

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 4745 Old Canoe Creek Rd, St. Cloud, FL, 34769, US
Mail Address: 4745 OLD CANOE CREEK RD, St. Cloud, FL, 34769, US
ZIP code: 34769
City: Saint Cloud
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LAKE CITY INSTITUTE OF NEUROLOGY Agent 4745 OLD CANOE CREEK RD, St. Cloud, FL, 34769
Lake City Institute of Neurology Rece 4745 OLD CANOE CREEK RD, St. Cloud, FL, 34769
Litton Debbie Manager 4745 OLD CANOE CREEK RD, St. Cloud, FL, 34769

National Provider Identifier

NPI Number:
1578922613
Certification Date:
2025-01-09

Authorized Person:

Name:
MRS. REKHA NIDADAVOLU
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2084N0008X - Neuromuscular Medicine (Psychiatry & Neurology) Physician
Is Primary:
Yes

Contacts:

Fax:
4078181654

Form 5500 Series

Employer Identification Number (EIN):
452778883
Plan Year:
2023
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000052833 FLORIDA INSTITUTE OF NEUROLOGY ACTIVE 2024-04-20 2029-12-31 - 4745 OLD CANOE CREEK RD, SAINT CLOUD, FL, 34769
G16000004248 FLORIDA INSTITUTE OF NEUROLOGY EXPIRED 2016-01-11 2021-12-31 - 4741 OLD CANOE CREEK ROAD, SUITE 2, ST. CLOUD, FL, 34769

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-01-29 4745 Old Canoe Creek Rd, St. Cloud, FL 34769 -
REGISTERED AGENT NAME CHANGED 2021-01-29 LAKE CITY INSTITUTE OF NEUROLOGY -
REGISTERED AGENT ADDRESS CHANGED 2021-01-29 4745 OLD CANOE CREEK RD, St. Cloud, FL 34769 -
CHANGE OF PRINCIPAL ADDRESS 2020-04-27 4745 Old Canoe Creek Rd, St. Cloud, FL 34769 -

Documents

Name Date
ANNUAL REPORT 2024-04-20
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-04-28
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-17

USAspending Awards / Financial Assistance

Date:
2012-10-05
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
378000.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
32
Initial Approval Amount:
$98,900
Date Approved:
2021-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$98,900
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$100,173.51
Servicing Lender:
Seacoast National Bank
Use of Proceeds:
Payroll: $98,898
Utilities: $1
Jobs Reported:
19
Initial Approval Amount:
$98,900
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$98,900
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$100,043.45
Servicing Lender:
Seacoast National Bank
Use of Proceeds:
Payroll: $98,900

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Date of last update: 01 Jul 2025

Sources: Florida Department of State