| Entity Name: | LANCE P. RAIFFE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Jan 1988 (37 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | K11216 |
| FEI/EIN Number | 65-0020925 |
| Address: | 4302 ALTON ROAD, SUITE 620, MIAMI BEACH, FL 33140 |
| Mail Address: | 4302 ALTON ROAD, SUITE 620, MIAMI BEACH, FL 33140 |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609114867 | 2013-01-23 | 2013-01-23 | 4302 ALTON RD, SUITE 620, MIAMI BEACH, FL, 331402891, US | 4302 ALTON RD, SUITE 620, MIAMI BEACH, FL, 331402891, US | |||||||||||||||||||
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| Phone | +1 305-538-8658 |
| Fax | 3055315827 |
Authorized person
| Name | DR. LANCE P RAIFFE |
| Role | PD |
| Phone | 3055388658 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 47810 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAIFFE, LANCE P. MD | Agent | 4302 ALTON ROAD, SUITE 620, MIAMI BEACH, FL 33140 |
| Name | Role | Address |
|---|---|---|
| RAIFFE, LANCE P, MD | President | 4302 ALTON ROAD, 620, MIAMI BEACH, FL 33140 |
| Name | Role | Address |
|---|---|---|
| RAIFFE, LANCE P, MD | Director | 4302 ALTON ROAD, 620, MIAMI BEACH, FL 33140 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-22 | RAIFFE, LANCE P. MD | No data |
| CHANGE OF MAILING ADDRESS | 2004-10-25 | 4302 ALTON ROAD, SUITE 620, MIAMI BEACH, FL 33140 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-10-25 | 4302 ALTON ROAD, SUITE 620, MIAMI BEACH, FL 33140 | No data |
| REINSTATEMENT | 2004-10-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-10-25 | 4302 ALTON ROAD, SUITE 620, MIAMI BEACH, FL 33140 | No data |
| INVOLUNTARILY DISSOLVED | 1989-10-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-01-20 |
| ANNUAL REPORT | 2013-01-22 |
| ANNUAL REPORT | 2012-01-07 |
| ANNUAL REPORT | 2011-01-15 |
| ANNUAL REPORT | 2010-02-27 |
| ANNUAL REPORT | 2009-01-22 |
| ANNUAL REPORT | 2008-02-06 |
| ANNUAL REPORT | 2007-01-25 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
