| Entity Name: | NORTH LAKE PRIMARY CARE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
NORTH LAKE PRIMARY CARE, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Nov 2014 (11 years ago) |
| Date of dissolution: | 28 Sep 2018 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (7 years ago) |
| Document Number: | P14000090067 |
| FEI/EIN Number |
47-2271903
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6 N. Eustis Street, Eustis, FL, 32726, US |
| Mail Address: | 6 N. Eustis Street, Eustis, FL, 32726, US |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962809145 | 2014-12-03 | 2014-12-03 | 8022 SAINT JAMES WAY, MOUNT DORA, FL, 327579134, US | 8022 SAINT JAMES WAY, MOUNT DORA, FL, 327579134, US | |||||||||||||||||||||||
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| Phone | +1 352-516-8931 |
Authorized person
| Name | MR. JEREMY E. CREECH |
| Role | PROPRIETOR |
| Phone | 3525168931 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | 363L00000X |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009259700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent | - |
| CREECH JEREMY E | President | 8022 SAINT JAMES WAY, MOUNT DORA, FL, 32757 |
| CREECH JEREMY E | Secretary | 8022 SAINT JAMES WAY, MOUNT DORA, FL, 32757 |
| CREECH JEREMY E | Treasurer | 8022 SAINT JAMES WAY, MOUNT DORA, FL, 32757 |
| CREECH JEREMY E | Director | 8022 SAINT JAMES WAY, MOUNT DORA, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-06 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| CHANGE OF MAILING ADDRESS | 2017-01-21 | 6 N. Eustis Street, Eustis, FL 32726 | - |
| REGISTERED AGENT NAME CHANGED | 2017-01-21 | UNITED STATES CORPORATION AGENTS, INC. | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-21 | 6 N. Eustis Street, Eustis, FL 32726 | - |
| REINSTATEMENT | 2017-01-21 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2017-01-21 |
| Domestic Profit | 2014-11-04 |
Date of last update: 03 May 2025
Sources: Florida Department of State
