| Entity Name: | LOPEZ MEDICAL PRACTICE, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Apr 2004 (21 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Oct 2015 (9 years ago) |
| Document Number: | L04000026347 |
| FEI/EIN Number | 200967752 |
| Address: | 351 NW 42 AVENUE, 403, MIAMI, FL, 33126 |
| Mail Address: | 351 NW 42 AVENUE, 403, MIAMI, FL, 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700083086 | 2007-06-29 | 2008-04-20 | PO BOX 651555, MIAMI, FL, 332651555, US | 351 NW 42ND AVE, SUITE 403, MIAMI, FL, 331265683, US | |||||||||||||||||||
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| Phone | +1 305-643-6447 |
| Fax | 3055415801 |
Authorized person
| Name | OLGA E LOPEZ |
| Role | PRESIDENT |
| Phone | 3056436447 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME89435 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LOPEZ MEDICAL PRACTICE LLC 401(K) PROFIT SHARING PLAN & TRUST | 2020 | 200967752 | 2021-12-07 | LOPEZ MEDICAL PRACTICE | 2 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-12-07 |
| Name of individual signing | OLGA LOPEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 3056436447 |
| Plan sponsor’s address | 351 NW 42ND AVENUE, SUITE 403, MIAMI, FL, 33126 |
Signature of
| Role | Plan administrator |
| Date | 2021-12-07 |
| Name of individual signing | OLGA LOPEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LOPEZ OLGA E | Agent | 351 NW 42 AVENUE, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| LOPEZ OLGA E | Managing Member | P.O. BOX 65-1555, MIAMI, FL, 33265 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2015-10-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-14 | LOPEZ, OLGA E | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2009-06-30 | 351 NW 42 AVENUE, 403, MIAMI, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-06-30 | 351 NW 42 AVENUE, 403, MIAMI, FL 33126 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-02-18 | 351 NW 42 AVENUE, 403, MIAMI, FL 33126 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-07-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
