| Entity Name: | L. P. MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Oct 2003 (21 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P03000115761 |
| FEI/EIN Number | 571190962 |
| Address: | 7374 SW 93RD AVENUE, SUITE # 201, MIAMI, FL, 33173, US |
| Mail Address: | 7374 SW 93RD AVENUE, SUITE # 201, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023083102 | 2006-02-21 | 2010-01-06 | 7374 SW 93RD AVE, SUITE 201, MIAMI, FL, 331735201, US | 7374 SW 93RD AVE, SUITE 201, MIAMI, FL, 331735201, US | |||||||||||||||||||||||||
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| Phone | +1 305-270-7771 |
| Fax | 3053887288 |
Authorized person
| Name | DR. LUCAS PORRELLO |
| Role | PRESIDENT |
| Phone | 3052707771 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME63386 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 371898101 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PORRELLO LUCAS | Agent | 13311 SW 101 ST, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| PORRELLO LUCAS | President | 13311 SW 101 ST, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| PORRELLO LUCAS | Secretary | 13311 SW 101 ST, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| PORRELLO LUCAS | Treasurer | 13311 SW 101 ST, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| PORRELLO LUCAS | Director | 13311 SW 101 ST, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-29 | 7374 SW 93RD AVENUE, SUITE # 201, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-29 | 7374 SW 93RD AVENUE, SUITE # 201, MIAMI, FL 33173 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-29 | 13311 SW 101 ST, MIAMI, FL 33186 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-02-27 |
| ANNUAL REPORT | 2013-01-17 |
| ANNUAL REPORT | 2012-01-08 |
| ANNUAL REPORT | 2011-02-20 |
| ANNUAL REPORT | 2010-01-07 |
| ANNUAL REPORT | 2009-01-16 |
| ANNUAL REPORT | 2008-01-07 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
