| Entity Name: | LAKE FAMILY PRACTICE OF ORLANDO & EVANS FAMILY CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Nov 2014 (10 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 30 Jul 2015 (10 years ago) |
| Document Number: | P14000091745 |
| FEI/EIN Number | 47-2312733 |
| Mail Address: | 2920 MAGNOLIA BLOSSOM CIRCLE, CLERMONT, FL, 34711, US |
| Address: | 1317 N. PINE HILLS ROAD, ORLANDO, FL, 32808, US |
| ZIP code: | 32808 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MADRAY PURNAMA | Agent | 2920 MAGNOLIA BLOSSOM CIRCLE, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| MADRAY PURNAMA | President | 2920 MAGNOLIA BLOSSOM CIRCLE, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| MADRAY PURNAMA | Treasurer | 2920 MAGNOLIA BLOSSOM CIRCLE, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| MADRAY PURNAMA | Secretary | 2920 MAGNOLIA BLOSSOM CIRCLE, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| LE LOC KIM MD | Director | 1317 N. PINE HILLS ROAD, ORLANDO, FL, 32808 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2018-04-13 | MADRAY, PURNAMA | No data |
| AMENDMENT AND NAME CHANGE | 2015-07-30 | LAKE FAMILY PRACTICE OF ORLANDO & EVANS FAMILY CARE INC | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000029452 | ACTIVE | 2023CA-014117-O | ORANGE CTY | 2023-11-17 | 2029-01-11 | $237,219.96 | CHCT FLORIDA, LLC, 3326 ASPEN GROVE DRIVE, SUITE 150, FRANKLIN, TN 37067 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-04-13 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-29 |
| Amendment and Name Change | 2015-07-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
