| Entity Name: | LAKE ALLERGY, ASTHMA & IMMUNOLOGY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LAKE ALLERGY, ASTHMA & IMMUNOLOGY, PA 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 17 May 2018 (7 years ago) |
| Document Number: | P18000046715 |
| FEI/EIN Number |
83-0695353
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1822 SALK AVE., TAVARES, FL, 32778, US |
| Mail Address: | PO Box 987, Mount Dora, FL, 32756, US |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831682814 | 2018-06-13 | 2021-02-16 | 1822 SALK AVE, TAVARES, FL, 327784300, US | 1822 SALK AVE, TAVARES, FL, 327784300, US | |||||||||||||||||||||||||||
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| Phone | +1 954-609-0140 |
| Fax | 8882207924 |
| Phone | +1 525-531-7173 |
Authorized person
| Name | DR. ANDREW J COOKE |
| Role | PRESIDENT |
| Phone | 9546090140 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| License Number | ME118840 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 8G0U6 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKE ALLERGY, ASTHMA & IMMUNOLOGY, PA 401(K) PS PLAN | 2023 | 830695353 | 2024-06-05 | LAKE ALLERGY, ASTHMA & IMMUNOLOGY, PA | 10 | |||||||||||||
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| LAKE ALLERGY, ASTHMA & IMMUNOLOGY, PA 401(K) PS PLAN | 2022 | 830695353 | 2023-04-13 | LAKE ALLERGY, ASTHMA & IMMUNOLOGY, PA | 6 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| COOKE ANDREW JM.D. | President | 1822 SALK AVE., TAVARES, FL, 32778 |
| COOKE ANDREW JM.D. | Secretary | 1822 SALK AVE., TAVARES, FL, 32778 |
| COOKE ANDREW JM.D. | Director | 1822 SALK AVE., TAVARES, FL, 32778 |
| Cooke Kimberly R | Agent | 2491 East Crooked Lake Club Blvd, Eustis, FL, 327262006 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-05 | Cooke, Kimberly R | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-05 | 2491 East Crooked Lake Club Blvd, Eustis, FL 32726-2006 | - |
| CHANGE OF MAILING ADDRESS | 2019-04-10 | 1822 SALK AVE., TAVARES, FL 32778 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-05-27 |
| ANNUAL REPORT | 2019-04-10 |
| Domestic Profit | 2018-05-17 |
Date of last update: 02 May 2025
Sources: Florida Department of State
