| Entity Name: | LAM A. AU, M.D., PH. D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Jul 1986 (39 years ago) |
| Document Number: | J25741 |
| FEI/EIN Number | 59-2694362 |
| Address: | 9275 SW 152ND ST, STE 108A, MIAMI, FL 33157 |
| Mail Address: | 9275 SW 152ND ST, STE 108A, MIAMI, FL 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205181575 | 2012-07-23 | 2012-07-23 | 9275 SW 152ND ST, SUITE 108A, PALMETTO BAY, FL, 331571701, US | 9275 SW 152ND ST, SUITE 108A, PALMETTO BAY, FL, 331571701, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-255-2505 |
Authorized person
| Name | LAM A. AU |
| Role | PRESIDENT |
| Phone | 3052552505 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME44386 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA BLUE |
| Number | 34023 |
| Issuer | MEDICAID |
| Number | 049-4917-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AU, LAM A | Agent | 9275 SW 152ND ST, STE 108A, MIAMI, FL 33157 |
| Name | Role | Address |
|---|---|---|
| AU, LAM A. | President | 7360 SW 117 TERRACE, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| AU, LAM A. | Treasurer | 7360 SW 117 TERRACE, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| AU, LAM A. | Secretary | 7360 SW 117 TERRACE, MIAMI, FL 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-01-25 | AU, LAM A | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1996-03-12 | 9275 SW 152ND ST, STE 108A, MIAMI, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 1996-03-12 | 9275 SW 152ND ST, STE 108A, MIAMI, FL 33157 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1996-03-12 | 9275 SW 152ND ST, STE 108A, MIAMI, FL 33157 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-03 |
| ANNUAL REPORT | 2016-01-06 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
