| Entity Name: | BLUE LAKE PHYSICIAN GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Nov 2019 (5 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 13 May 2020 (5 years ago) |
| Document Number: | P19000086276 |
| FEI/EIN Number | 84-3604765 |
| Address: | 4800 W FLAGLER, MIAMI, FL 33134 |
| Mail Address: | 4800 W FLAGLER, MIAMI, FL 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| PEREZ RODRIGUEZ, DANIEL | Agent | 4800 W FLAGLER, SUITE 212, MIAMI, FL 33134 |
| Name | Role | Address |
|---|---|---|
| PEREZ RODRIGUEZ, DANIEL | President | 4800 W FLAGLER, SUITE 212 MIAMI, FL 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-25 | 4800 W FLAGLER, MIAMI, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-25 | 4800 W FLAGLER, MIAMI, FL 33134 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-18 | 4800 W FLAGLER, SUITE 212, MIAMI, FL 33134 | No data |
| NAME CHANGE AMENDMENT | 2020-05-13 | BLUE LAKE PHYSICIAN GROUP INC | No data |
| REGISTERED AGENT NAME CHANGED | 2020-05-13 | PEREZ RODRIGUEZ, DANIEL | No data |
| AMENDMENT | 2020-01-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-18 |
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2021-01-14 |
| AMENDED ANNUAL REPORT | 2020-05-13 |
| Name Change | 2020-05-13 |
| ANNUAL REPORT | 2020-02-20 |
| Amendment | 2020-01-13 |
| Domestic Profit | 2019-11-06 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
