| Entity Name: | LAURA DE BIEN MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Jan 2012 (13 years ago) |
| Document Number: | P12000006672 |
| FEI/EIN Number | 45-4327697 |
| Address: | 8660 WEST FLAGLER ST, MIAMI, FL, 33144, US |
| Mail Address: | 15205 SW 73RD CT, PALMETTO BAY, FL, 33157, US |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497006159 | 2012-09-20 | 2014-01-12 | PO BOX 350926, MIAMI, FL, 331350926, US | 8660 W FLAGLER ST, STE 111, MIAMI, FL, 331442031, US | |||||||||||||||||||||||||||
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| Phone | +1 786-510-6380 |
| Fax | 3052294054 |
| Fax | 3052204054 |
Authorized person
| Name | DR. LAURA DE BIEN |
| Role | PRESIDENT |
| Phone | 7865106380 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME109306 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA LICENCE |
| Number | ME109306 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DE BIEN LAURA | Agent | 8660 WEST FLAGLER ST, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| DE BIEN LAURA | President | 8660 W FLAGLER ST, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-07 | 8660 WEST FLAGLER ST, SUITE 201, MIAMI, FL 33144 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-07 | 8660 WEST FLAGLER ST, SUITE 201, MIAMI, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-28 | 8660 WEST FLAGLER ST, SUITE 201, MIAMI, FL 33144 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-03-07 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-03-11 |
| ANNUAL REPORT | 2016-02-18 |
| ANNUAL REPORT | 2015-01-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
