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LYSETTE IGLESIAS M.D. P.A.

Company Details

Entity Name: LYSETTE IGLESIAS M.D. P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Oct 2010 (14 years ago)
Document Number: P10000080771
FEI/EIN Number 273689415
Address: 5801 nw 151 street suite 103, miami lakes, FL, 33014, US
Mail Address: 16046 nw 81 COURT, MIAMI LAKES, FL, 33016, US
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518267343 2010-10-26 2011-12-14 8031 NW 169TH TER, MIAMI LAKES, FL, 330163430, US 2387 W 68TH ST, SUITE 301, HIALEAH, FL, 330166889, US

Contacts

Phone +1 305-639-0446
Fax 3053815541
Phone +1 305-381-5301

Authorized person

Name DR. LYSETTE IGLESIAS
Role PEDIATRIC ENDOCRINOLOGIST
Phone 3056390446

Taxonomy

Taxonomy Code 2080P0205X - Pediatric Endocrinology Physician
License Number ME 99374
State FL
Is Primary Yes

Agent

Name Role Address
IGLESIAS LYSETTE Agent 16046 nw 81 COURT, MIAMI LAKES, FL, 33016

Manager

Name Role Address
IGLESIAS LYSETTE Manager 16046 nw 81 COURT, MIAMI LAKES, FL, 33016

Director

Name Role Address
IGLESIAS LYSETTE Director 16046 nw 81 COURT, MIAMI LAKES, FL, 33016

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-16 5801 nw 151 street suite 103, miami lakes, FL 33014 No data
CHANGE OF MAILING ADDRESS 2018-01-15 5801 nw 151 street suite 103, miami lakes, FL 33014 No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-15 16046 nw 81 COURT, MIAMI LAKES, FL 33016 No data

Documents

Name Date
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-02-18
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-23
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-16
ANNUAL REPORT 2015-01-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State