| Entity Name: | LORENZO J. NEGRET, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Jun 2002 (23 years ago) |
| Date of dissolution: | 23 Jan 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Jan 2017 (8 years ago) |
| Document Number: | P02000066504 |
| FEI/EIN Number | 383653241 |
| Address: | 1538 Malaga Ave, Coral Gables, FL, 33134, US |
| Mail Address: | 1538 Malaga Ave, Coral Gables, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376821322 | 2011-07-25 | 2011-07-25 | 11760 SW 40TH ST STE 433, MIAMI, FL, 331753595, US | 11760 SW 40TH ST STE 433, MIAMI, FL, 331753595, US | |||||||||||||||||||||||||
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| Phone | +1 305-223-9815 |
| Fax | 3052234840 |
Authorized person
| Name | MR. LORENZO J. NEGRET |
| Role | DOCTOR |
| Phone | 3052239815 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| License Number | ME 29808 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 039710500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NEGRET LORENZO J | Agent | 1538 Malalga Ave, Coral Gables, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| NEGRET LORENZO J | President | 1538 MALAGA AVE, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| NEGRET LORENZO J | Director | 1538 MALAGA AVE, CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-01-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-06 | 1538 Malaga Ave, Coral Gables, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-06 | 1538 Malaga Ave, Coral Gables, FL 33134 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-06 | 1538 Malalga Ave, Coral Gables, FL 33134 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2017-01-23 |
| ANNUAL REPORT | 2016-02-06 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-01-09 |
| ANNUAL REPORT | 2011-03-06 |
| ANNUAL REPORT | 2010-02-17 |
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
