Detail by Officer/Registered Agent Name
Florida Profit Corporation
LAKE PEDIATRICS, P.A.
Filing Information
P96000000209
59-3351823
01/02/1996
01/01/1996
FL
ACTIVE
AMENDMENT
09/20/2021
NONE
Principal Address
Changed: 04/26/2007
18515 HWY 441
MT. DORA, FL 32757
MT. DORA, FL 32757
Changed: 04/26/2007
Mailing Address
Changed: 02/07/2006
P.O. BOX 1206
TAVARES, FL 32778
TAVARES, FL 32778
Changed: 02/07/2006
Registered Agent Name & Address
Johnson, Charles D
Name Changed: 05/01/2023
Address Changed: 06/07/2024
Bowen & Schroth, P.A.
1330 Citizens Blvd.
Suite 404
LEESBURG, FL 34748
1330 Citizens Blvd.
Suite 404
LEESBURG, FL 34748
Name Changed: 05/01/2023
Address Changed: 06/07/2024
Officer/Director Detail
Name & Address
Title DPS
CARLSON, M.D., E. THOMAS
Title VT
CARLSON, GAIL A
Title DPS
CARLSON, M.D., E. THOMAS
4880 NORTH HWY 19 A
SUITE 200
MT. DORA, FL 32757
SUITE 200
MT. DORA, FL 32757
Title VT
CARLSON, GAIL A
4880 NORTH HWY 19 A
SUTIE 200
MT. DORA, FL 32757
SUTIE 200
MT. DORA, FL 32757
Annual Reports
Report Year | Filed Date |
2022 | 05/16/2022 |
2023 | 05/01/2023 |
2024 | 06/07/2024 |
Document Images