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LAKESIDE MED SUPPLIES INC

Company Details

Entity Name: LAKESIDE MED SUPPLIES INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 10 Jan 2023 (2 years ago)
Date of dissolution: 27 Sep 2024 (5 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (5 months ago)
Document Number: P23000003349
Address: 2415 W SAND LAKE RD, STE G, ORLANDO, FL 32809
Mail Address: 2415 W SAND LAKE RD, STE G, ORLANDO, FL 32809
ZIP code: 32809
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700590296 2023-01-09 2023-01-09 2415 SAND LAKE RD STE G, ORLANDO, FL, 328097701, US 2415 SAND LAKE RD STE G, ORLANDO, FL, 328097701, US

Contacts

Phone +1 917-436-2594

Authorized person

Name KADICHA WILLIAMS
Role PRESIDENT
Phone 9174362594

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
WILLIAMS, KADICHA Agent 2415 W SAND LAKE RD, STE G, ORLANDO, FL 32809

Vice President

Name Role Address
WILLIAMS, KADICHA Vice President 2415 W SAND LAKE RD STE G, ORLANDO, FL 32809

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data

Documents

Name Date
Domestic Profit 2023-01-10

Date of last update: 10 Feb 2025

Sources: Florida Department of State