| Entity Name: | LAKELAND HILLS MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Mar 2017 (8 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Nov 2020 (4 years ago) |
| Document Number: | P17000026435 |
| FEI/EIN Number | 82-0969780 |
| Address: | 2112 LAKELAND HILLS BOULEVARD, LAKELAND, FL 33805 |
| Mail Address: | 2112 LAKELAND HILLS BOULEVARD, LAKELAND, FL 33805 |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306601117 | 2024-02-20 | 2024-02-20 | 2112 LAKELAND HILLS BLVD, LAKELAND, FL, 338052906, US | 2112 LAKELAND HILLS BLVD, LAKELAND, FL, 338052906, US | |||||||||||||||||||
|
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| Phone | +1 863-686-3633 |
| Fax | 8636824645 |
Authorized person
| Name | CHESTER MILTENBERGER |
| Role | PARTNER |
| Phone | 8636863633 |
Taxonomy
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KELLY, CYNTHIA | Agent | 2112 Lakeland Hills Blvd, Lakeland, FL 33805 |
| Name | Role | Address |
|---|---|---|
| KELLY, CYNTHIA H | President | 1770 PALMER AVENUE, WINTER PARK, FL 32789 |
| Name | Role | Address |
|---|---|---|
| KELLY, CYNTHIA H | Secretary | 1770 PALMER AVENUE, WINTER PARK, FL 32789 |
| Name | Role | Address |
|---|---|---|
| KELLY, CYNTHIA H | Treasurer | 1770 PALMER AVENUE, WINTER PARK, FL 32789 |
| Name | Role | Address |
|---|---|---|
| MILTENBERGER, CHESTER | Vice President | 703 CAMARAQUE PLACE #103, LAKE MARY, FL 32746 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000014778 | VANGUARD MEDICAL CARE OF LAKELAND | ACTIVE | 2019-01-28 | 2029-12-31 | No data | 2112 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| G17000138111 | CERTIFIED CANNABIS CARE CLINICS OF FLORIDA | EXPIRED | 2017-12-18 | 2022-12-31 | No data | 317 W. 5TH ST, LAKELAND, FL, 33805 |
| G17000138118 | CANNABIS CARE CLINICS OF FLORIDA | EXPIRED | 2017-12-18 | 2022-12-31 | No data | 317 W. 5TH STREET, LAKEALND, FL, 33805 |
| G17000119436 | DOCTORS CLINIC OF LAKELAND | EXPIRED | 2017-10-30 | 2022-12-31 | No data | 317 W. 5TH ST, LAKELAND, FL, 33805 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-19 | 2112 Lakeland Hills Blvd, Lakeland, FL 33805 | No data |
| AMENDMENT | 2020-11-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-11-23 | KELLY, CYNTHIA | No data |
| AMENDMENT | 2018-10-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-27 | 2112 LAKELAND HILLS BOULEVARD, LAKELAND, FL 33805 | No data |
| CHANGE OF MAILING ADDRESS | 2018-07-27 | 2112 LAKELAND HILLS BOULEVARD, LAKELAND, FL 33805 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-04-19 |
| Amendment | 2020-11-23 |
| ANNUAL REPORT | 2020-02-09 |
| ANNUAL REPORT | 2019-03-03 |
| Amendment | 2018-10-23 |
| ANNUAL REPORT | 2018-04-04 |
| Domestic Profit | 2017-03-21 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
