| Entity Name: | LYLE G. VASHER, D.P.M., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 31 Dec 1986 (38 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | J49555 |
| FEI/EIN Number | 59-2787692 |
| Address: | LYLE G. VASHER, D.P.M., 1861 PLACIDA RD #103, ENGLEWOOD, FL 34223-4900 |
| Mail Address: | LYLE G. VASHER, D.P.M., 1861 PLACIDA RD #103, ENGLEWOOD, FL 34223-4900 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568555233 | 2006-10-02 | 2010-06-24 | 1861 PLACIDA RD., SUITE# 103, ENGLEWOOD, FL, 342234911, US | 1861 PLACIDA RD., SUITE# 103, ENGLEWOOD, FL, 342234911, US | |||||||||||||||||||||||||
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| Phone | +1 941-474-5577 |
| Fax | 9414734145 |
Authorized person
| Name | DR. LYLE G. VASHER |
| Role | OWNER |
| Phone | 9414745577 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO1478 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 040952900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VASHER, LYLE G. | Agent | 1861 PLACIDA RD, SUITE 103, ENGLEWOOD, FL 34223-4900 |
| Name | Role | Address |
|---|---|---|
| VASHER, LYLE G | Director | 1861 FLACIDA RD., #103, ENGLEWOOD, FL 34223 |
| Name | Role | Address |
|---|---|---|
| VASHER, LYLE G | President | 1861 FLACIDA RD., #103, ENGLEWOOD, FL 34223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-11 | LYLE G. VASHER, D.P.M., 1861 PLACIDA RD #103, ENGLEWOOD, FL 34223-4900 | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-11 | LYLE G. VASHER, D.P.M., 1861 PLACIDA RD #103, ENGLEWOOD, FL 34223-4900 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-29 | 1861 PLACIDA RD, SUITE 103, ENGLEWOOD, FL 34223-4900 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-29 |
| ANNUAL REPORT | 2013-01-27 |
| ANNUAL REPORT | 2012-01-17 |
| ANNUAL REPORT | 2011-02-06 |
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-03-29 |
| ANNUAL REPORT | 2008-03-03 |
| ANNUAL REPORT | 2007-04-09 |
| ANNUAL REPORT | 2006-03-06 |
| ANNUAL REPORT | 2005-02-05 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
