| Entity Name: | LAZCANO FAMILY DENTAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LAZCANO FAMILY DENTAL, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Sep 2011 (14 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | P11000085966 |
| FEI/EIN Number |
800759967
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1000 N HIATUS RD, PEMBROKE PINES, FL, 33026, US |
| Mail Address: | 1000 N HIATUS RD, PEMBROKE PINES, FL, 33026, US |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447694799 | 2013-04-17 | 2013-04-17 | 10051 PINES BLVD STE C, PEMBROKE PINES, FL, 330246172, US | 10051 PINES BLVD STE C, PEMBROKE PINES, FL, 330246172, US | |||||||||||||||||||||||||
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| Phone | +1 954-317-0236 |
| Fax | 9545431600 |
Authorized person
| Name | MARITZA T LAZCANO |
| Role | DENTIST |
| Phone | 9543170236 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN182052 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 076955001 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| lovos jocelyn | Secretary | 1000 N HIATUS RD, PEMBROKE PINES, FL, 33026 |
| Lazcano Maritza Dr. | President | 1000 N hiatus RD, Pembroke Pines, FL, 33026 |
| LAZCANO MARITZA Dr. | Agent | 1000 N HIATUS RD, PEMBROKE PINES, FL, 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-03-05 | LAZCANO, MARITZA, Dr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-05 | 1000 N HIATUS RD, SUITE 150, PEMBROKE PINES, FL 33026 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-20 | 1000 N HIATUS RD, SUITE 150, PEMBROKE PINES, FL 33026 | - |
| CHANGE OF MAILING ADDRESS | 2017-04-20 | 1000 N HIATUS RD, SUITE 150, PEMBROKE PINES, FL 33026 | - |
| NAME CHANGE AMENDMENT | 2012-11-19 | LAZCANO FAMILY DENTAL, P.A. | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000219317 | ACTIVE | CACE-20-005434 | BROWARD COUNTY, FL (NY FJ) | 2017-11-13 | 2025-05-26 | $170052.76 | BANKERS HEALTHCARE GROUP, LLC, PO BOX 13010, SYRACUSE, NY 13204 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-03-10 |
| ANNUAL REPORT | 2014-04-11 |
| ANNUAL REPORT | 2013-04-17 |
| Name Change | 2012-11-19 |
| ANNUAL REPORT | 2012-04-18 |
| Domestic Profit | 2011-09-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
