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  5. ALAN M. LAZAR, M.D., P.A.

ALAN M. LAZAR, M.D., P.A.

Company Details

Entity Name: ALAN M. LAZAR, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 26 Jun 1981 (44 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Apr 2021 (4 years ago)
Document Number: 693346
FEI/EIN Number 59-2101768
Address: 2200 S Ocean Land, Apt 1001, Parkland, FL 33076
Mail Address: 2200 S Ocean Land, Apt 1001, Parkland, FL 33076
ZIP code: 33076
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255613667 2011-09-12 2011-09-12 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA, 900771726, US 350 NW 84TH AVE, SUITE 206, PLANTATION, FL, 333241817, US

Contacts
Phone +1 310-474-9809
Phone +1 954-476-9494

Authorized person
Name ALAN LAZAR
Role PRESIDENT
Phone 9544769494

Taxonomy
Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALAN M. LAZAR, M.D., P.A. DEFINED BENEFIT PLAN 2013 592101768 2014-07-11 ALAN M. LAZAR, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9546401126
Plan sponsor’s address 3501 NORTH OCEAN DRIVE, APT 8C, HOLLYWOOD, FL, 33019

Signature of
Role Plan administrator
Date 2014-07-11
Name of individual signing REBECCA TORRES
Valid signature Filed with authorized/valid electronic signature
ALAN M. LAZAR, M.D., P.A. PROFIT SHARING PLAN 2013 592101768 2014-02-05 ALAN M. LAZAR, M.D., P.A. No data
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9544769494
Plan sponsor’s address 3501 NORTH OCEAN DRIVE, APT. 8C, HOLLYWOOD, FL, 33019

Signature of
Role Plan administrator
Date 2014-02-05
Name of individual signing DAWN VEGA
Valid signature Filed with authorized/valid electronic signature
ALAN M. LAZAR, M.D., P.A. PROFIT SHARING PLAN 2012 592101768 2013-05-06 ALAN M. LAZAR, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9544769494
Plan sponsor’s address 3501 NORTH OCEAN DRIVE, APT. 8C, HOLLYWOOD, FL, 33019

Signature of
Role Plan administrator
Date 2013-05-06
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
ALAN M. LAZAR, M.D., P.A. DEFINED BENEFIT PLAN 2012 592101768 2013-05-09 ALAN M. LAZAR, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9546401126
Plan sponsor’s address 3501 NORTH OCEAN DRIVE, APT 8C, HOLLYWOOD, FL, 33019

Signature of
Role Plan administrator
Date 2013-05-09
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
ALAN M. LAZAR, M.D., P.A. PROFIT SHARING PLAN 2012 592101768 2013-11-30 ALAN M. LAZAR, M.D., P.A. 14
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9544769494
Plan sponsor’s address 3501 NORTH OCEAN DRIVE, APT. 8C, HOLLYWOOD, FL, 33019

Signature of
Role Plan administrator
Date 2013-11-30
Name of individual signing REBECCA TORRES
Valid signature Filed with authorized/valid electronic signature
ALAN M. LAZAR, M.D., P.A. DEFINED BENEFIT PLAN 2011 592101768 2012-07-06 ALAN M. LAZAR, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9546401126
Plan sponsor’s address 3501 NORTH OCEAN DRIVE, APT 8C, HOLLYWOOD, FL, 33019

Plan administrator’s name and address
Administrator’s EIN 592101768
Plan administrator’s name ALAN M. LAZAR, M.D., P.A.
Plan administrator’s address 3501 NORTH OCEAN DRIVE, APT 8C, HOLLYWOOD, FL, 33019
Administrator’s telephone number 9546401126

Signature of
Role Plan administrator
Date 2012-07-06
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
ALAN M. LAZAR, M.D., P.A. PROFIT SHARING PLAN 2011 592101768 2012-07-06 ALAN M. LAZAR, M.D., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9544769494
Plan sponsor’s address 3501 NORTH OCEAN DRIVE, APT. 8C, HOLLYWOOD, FL, 33019

Plan administrator’s name and address
Administrator’s EIN 592101768
Plan administrator’s name ALAN M. LAZAR, M.D., P.A.
Plan administrator’s address 3501 NORTH OCEAN DRIVE, APT. 8C, HOLLYWOOD, FL, 33019
Administrator’s telephone number 9544769494

Signature of
Role Plan administrator
Date 2012-07-06
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
ALAN M. LAZAR, M.D., P.A. DEFINED BENEFIT PLAN 2010 592101768 2011-10-05 ALAN M. LAZAR, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9546401126
Plan sponsor’s address 3501 NORTH OCEAN DRIVE, APT 8C, HOLLYWOOD, FL, 33019

Plan administrator’s name and address
Administrator’s EIN 592101768
Plan administrator’s name ALAN M. LAZAR, M.D., P.A.
Plan administrator’s address 3501 NORTH OCEAN DRIVE, APT 8C, HOLLYWOOD, FL, 33019
Administrator’s telephone number 9546401126

Signature of
Role Plan administrator
Date 2011-10-05
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
ALAN M. LAZAR, M.D., P.A. PROFIT SHARING PLAN 2010 592101768 2011-10-05 ALAN M. LAZAR, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9544769494
Plan sponsor’s address 3501 NORTH OCEAN DRIVE, APT. 8C, HOLLYWOOD, FL, 33019

Plan administrator’s name and address
Administrator’s EIN 592101768
Plan administrator’s name ALAN M. LAZAR, M.D., P.A.
Plan administrator’s address 3501 NORTH OCEAN DRIVE, APT. 8C, HOLLYWOOD, FL, 33019
Administrator’s telephone number 9544769494

Signature of
Role Plan administrator
Date 2011-10-05
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
ALAN M. LAZAR, M.D., P.A. PROFIT SHARING PLAN 2009 592101768 2010-07-01 ALAN M. LAZAR, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9544769494
Plan sponsor’s address 2810 HACKNEY ROAD, WESTON, FL, 333313037

Plan administrator’s name and address
Administrator’s EIN 592101768
Plan administrator’s name ALAN M. LAZAR, M.D., P.A.
Plan administrator’s address 2810 HACKNEY ROAD, WESTON, FL, 333313037
Administrator’s telephone number 9544769494

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LAZAR, ALAN M., MD Agent 2200 S Ocean Land, Apt 1001, Parkland, FL 33076

President

Name Role Address
Lazar, Alan M., MD President 2200 S Ocean Land, Apt 1001 Parkland, FL 33076

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-01 2200 S Ocean Land, Apt 1001, Parkland, FL 33076 No data
CHANGE OF PRINCIPAL ADDRESS 2024-04-01 2200 S Ocean Land, Apt 1001, Parkland, FL 33076 No data
CHANGE OF MAILING ADDRESS 2024-04-01 2200 S Ocean Land, Apt 1001, Parkland, FL 33076 No data
REGISTERED AGENT NAME CHANGED 2022-04-29 LAZAR, ALAN M., MD No data
REINSTATEMENT 2021-04-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CANCEL ADM DISS/REV 2006-02-27 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-04-29
REINSTATEMENT 2021-04-02
ANNUAL REPORT 2019-03-03
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-04-17
ANNUAL REPORT 2015-03-27
ANNUAL REPORT 2014-02-26

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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