| Entity Name: | FLORIDA LAB SOURCE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Aug 2015 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P15000066526 |
| FEI/EIN Number | 47-4746479 |
| Address: | 13805 FOLKSTONE CIRCLE, WELLINGTON, FL 33414 |
| Mail Address: | 13805 FOLKSTONE CIRCLE, WELLINGTON, FL 33414 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912371089 | 2015-11-30 | 2015-11-30 | 13805 FOLKSTONE CIR, WELLINGTON, FL, 334147704, US | 11350 SW VILLAGE PKWY, PORT ST LUCIE, FL, 349872352, US | |||||||||||||||||
|
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| Phone | +1 561-309-0134 |
Authorized person
| Name | MIKE ANTHONY CIRILLO |
| Role | PRESIDENT |
| Phone | 5613090134 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800027325 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CIRILLO, MICHAEL | Agent | 13805 FOLKSTONE CIRCLE, WELLINGTON, FL 33414 |
| Name | Role | Address |
|---|---|---|
| CIRILLO, MICHAEL | President | 13805 FOLKSTONE CIRCLE, WELLINGTON, FL 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2017-02-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-02-07 | CIRILLO, MICHAEL | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-15 |
| REINSTATEMENT | 2017-02-07 |
| Domestic Profit | 2015-08-06 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
