Entity Name: | PABLO A. LAM, MD, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 18 Apr 2014 (11 years ago) |
Date of dissolution: | 27 Sep 2024 (4 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (4 months ago) |
Document Number: | P14000035324 |
FEI/EIN Number | 46-5451097 |
Address: | 6733 CRESCENT LAKE DR, LAKELAND, FL, 33813, US |
Mail Address: | 6733 CRESCENT LAKE DR, LAKELAND, FL, 33813, US |
ZIP code: | 33813 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1679931141 | 2016-01-29 | 2016-01-29 | 6733 CRESCENT LAKE DR, LAKELAND, FL, 338134647, US | 3600 S HIGHLANDS AVE, SEBRING, FL, 338705416, US | |||||||||||||||
|
Phone | +1 305-336-1531 |
Phone | +1 863-385-6101 |
Authorized person
Name | PABLO LAM |
Role | OWNER |
Phone | 3053361531 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LAM PABLO A | Agent | 6733 CRESCENT LAKE DR, LAKELAND, FL, 33813 |
Name | Role | Address |
---|---|---|
LAM PABLO A100% | Director | 6733 CRESCENT LAKE DR, LAKELAND, FL, 33813 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G21000024512 | PRECISE CARE MEDICAL GROUP | ACTIVE | 2021-02-19 | 2026-12-31 | No data | 6733 CRESCENT LAKE DR, LAKELAND, FL, 33813 |
G17000001090 | TOTAL HEALTH CARE MEDICAL CENTER | EXPIRED | 2017-01-04 | 2022-12-31 | No data | 6733 CRESCENT LAKE DR, LAKELAND, FL, 33813 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2015-02-20 | 6733 CRESCENT LAKE DR, LAKELAND, FL 33813 | No data |
CHANGE OF MAILING ADDRESS | 2015-02-20 | 6733 CRESCENT LAKE DR, LAKELAND, FL 33813 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2015-02-20 | 6733 CRESCENT LAKE DR, LAKELAND, FL 33813 | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2023-08-18 |
ANNUAL REPORT | 2023-02-24 |
ANNUAL REPORT | 2022-02-02 |
ANNUAL REPORT | 2021-04-29 |
ANNUAL REPORT | 2020-02-05 |
ANNUAL REPORT | 2019-01-25 |
ANNUAL REPORT | 2018-03-20 |
ANNUAL REPORT | 2017-04-28 |
ANNUAL REPORT | 2016-01-28 |
ANNUAL REPORT | 2015-02-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State