| Entity Name: | LARA J. FIX DO, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Aug 2006 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Mar 2013 (12 years ago) |
| Document Number: | P06000109544 |
| FEI/EIN Number | 760836804 |
| Address: | 816 SE OCEAN BLVD., SUITE B, STUART, FL, 34994, US |
| Mail Address: | POST OFFICE BOX 1637, STUART, FL, 34995, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982880944 | 2008-01-21 | 2020-05-06 | PO BOX 1637, STUART, FL, 349951637, US | 816 SE OCEAN BLVD STE B, STUART, FL, 349942428, US | |||||||||||||||||||||||||
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| Phone | +1 772-219-9355 |
| Fax | 7722199357 |
Authorized person
| Name | DR. LARA FIX |
| Role | DOCTOR |
| Phone | 7721929355 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | OS9817 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CIGNA |
| Number | 4995388 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FIX LARA JD.O. | Agent | 816 SE OCEAN BLVD., STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| FIX LARA JD.O. | Director | 816 SE OCEAN BLVD #B, STUART, FL, 34995 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-03 | 816 SE OCEAN BLVD., SUITE B, STUART, FL 34994 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-03 | 816 SE OCEAN BLVD., SUITE B, STUART, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-03 | 816 SE OCEAN BLVD., SUITE B, STUART, FL 34994 | No data |
| REINSTATEMENT | 2013-03-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-07-15 | FIX, LARA J, D.O. | No data |
| CANCEL ADM DISS/REV | 2007-11-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-02-26 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
