| Entity Name: | JEFFREY M. LASKOFF, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JEFFREY M. LASKOFF, M.D., P.A. 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 02 Oct 1978 (46 years ago) |
| Date of dissolution: | 08 Feb 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Feb 2016 (9 years ago) |
| Document Number: | 588156 |
| FEI/EIN Number |
591860508
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1502 LUCERNE TERRACE, ORLANDO, FL, 32806 |
| Mail Address: | 1502 LUCERNE TERRACE, ORLANDO, FL, 32806 |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942527718 | 2010-05-03 | 2010-05-03 | 1502 LUCERNE TER, ORLANDO, FL, 328062017, US | 1502 LUCERNE TER, ORLANDO, FL, 328062017, US | |||||||||||||||||||||||||
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| Phone | +1 407-841-3620 |
| Fax | 4078438423 |
Authorized person
| Name | DR. JEFFREY MICHAEL LASKOFF |
| Role | PRESIDENET |
| Phone | 4078413620 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME23702 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 056568700 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY M. LASKOFF, M.D., P.A. PROFIT SHARING PLAN | 2013 | 591860508 | 2015-01-15 | JEFFREY M. LASKOFF, M.D., P.A. | 3 | |||||||||||||||||||||||||||||||||||||||||
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| JEFFREY M. LASKOFF, M.D., P.A. PROFIT SHARING PLAN | 2010 | 591860508 | 2012-01-13 | JEFFREY M. LASKOFF, M.D., P.A. | 4 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 591860508 |
| Plan administrator’s name | JEFFREY M. LASKOFF, M.D., P.A. |
| Plan administrator’s address | 1502 LUCERNE TERRACE, ORLANDO, FL, 328062917 |
| Administrator’s telephone number | 4078413620 |
Signature of
| Role | Plan administrator |
| Date | 2012-01-13 |
| Name of individual signing | TATIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-01-13 |
| Name of individual signing | TATIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 1998-04-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4078413620 |
| Plan sponsor’s address | 1502 LUCERNE TERRACE, ORLANDO, FL, 328062917 |
Plan administrator’s name and address
| Administrator’s EIN | 591860508 |
| Plan administrator’s name | JEFFREY M. LASKOFF, M.D., P.A. |
| Plan administrator’s address | 1502 LUCERNE TERRACE, ORLANDO, FL, 328062917 |
| Administrator’s telephone number | 4078413620 |
Signature of
| Role | Plan administrator |
| Date | 2011-01-10 |
| Name of individual signing | TATIANA CHAVEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LASKOFF, JEFFREY M | President | 1502 LUCERNE TERRACE, ORLANDO, FL |
| LASKOFF, JEFFREY M. | Agent | 1502 LUCERNE TERRACE, ORLANDO, FL, 32806 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-02-08 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 1988-02-25 | 1502 LUCERNE TERRACE, ORLANDO, FL 32806 | - |
| CHANGE OF MAILING ADDRESS | 1988-02-25 | 1502 LUCERNE TERRACE, ORLANDO, FL 32806 | - |
| REGISTERED AGENT ADDRESS CHANGED | 1988-02-25 | 1502 LUCERNE TERRACE, ORLANDO, FL 32806 | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2016-02-08 |
| ANNUAL REPORT | 2015-02-25 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-04-08 |
| ANNUAL REPORT | 2012-03-22 |
| ANNUAL REPORT | 2011-03-15 |
| ANNUAL REPORT | 2010-04-05 |
| ANNUAL REPORT | 2009-01-08 |
| ANNUAL REPORT | 2008-01-31 |
| ANNUAL REPORT | 2007-02-08 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
