| Entity Name: | HUMANITARY MEDICAL CENTER LAKELAND, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Jul 2024 (7 months ago) |
| Document Number: | P24000047282 |
| FEI/EIN Number | 993994420 |
| Address: | 1421 BARTOW RD, LAKELAND, FL, 33801, US |
| Mail Address: | 1421 BARTOW RD, LAKELAND, FL, 33801, US |
| ZIP code: | 33801 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801628128 | 2024-08-15 | 2024-08-15 | 6607 N DALE MABRY HWY, TAMPA, FL, 336143985, US | 1421 BARTOW RD, LAKELAND, FL, 338016574, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-468-1866 |
| Phone | +1 813-499-1500 |
| Fax | 8134991499 |
Authorized person
| Name | ELIECER GONZALEZ |
| Role | PRESIDENT |
| Phone | 8134681866 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent |
| Name | Role | Address |
|---|---|---|
| GONZALEZ ELIECER | President | 6607 N DALE MABRY HWY, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-09-18 | CORPORATE CREATIONS NETWORK, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-18 | 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2024-09-18 |
| Domestic Profit | 2024-07-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
