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NEW LASER EYE CENTER OF MIAMI INC

Company Details

Entity Name: NEW LASER EYE CENTER OF MIAMI INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 02 Sep 2014 (10 years ago)
Last Event: AMENDMENT
Event Date Filed: 26 May 2015 (10 years ago)
Document Number: P14000072698
FEI/EIN Number 47-1736310
Address: 1661 SOUTHWEST 37TH AVENUE, MIAMI, FL 33145
Mail Address: 1661 SOUTHWEST 37TH AVENUE, MIAMI, FL 33145
ZIP code: 33145
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386045904 2014-09-15 2015-09-03 1661 SW 37TH AVE, MIAMI, FL, 331451754, US 1661 SW 37TH AVE, MIAMI, FL, 331451754, US

Contacts

Phone +1 305-461-2400
Fax 3054612902

Authorized person

Name GABRIEL GEORGE LAZCANO
Role OWNER / PRESIDENT
Phone 3054612400

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 013442800
State FL
Issuer BCBS
Number 00A0D
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW LASER EYE CENTER OF MIAMI 401(K) PROFIT SHARING PLAN & TRUST 2019 471736310 2020-04-22 NEW LASER EYE CENTER OF MIAMI 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 3054434733
Plan sponsor’s address 1661 SW 37TH AVE, CORAL GABLES, FL, 33145

Signature of

Role Plan administrator
Date 2020-04-22
Name of individual signing ABRAHAM AWAD
Valid signature Filed with authorized/valid electronic signature
NEW LASER EYE CENTER OF MIAMI 401 K PROFIT SHARING PLAN TRUST 2018 471736310 2019-05-28 NEW LASER EYE CENTER OF MIAMI 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 3054434733
Plan sponsor’s address 1661 SW 37TH AVE, CORAL GABLES, FL, 33145

Signature of

Role Plan administrator
Date 2019-05-28
Name of individual signing GABRIELA MURILLO
Valid signature Filed with authorized/valid electronic signature
NEW LASER EYE CENTER OF MIAMI 401 K PROFIT SHARING PLAN TRUST 2017 471736310 2018-06-08 NEW LASER EYE CENTER OF MIAMI 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 3054434733
Plan sponsor’s address 1661 SW 37TH AVE, CORAL GABLES, FL, 33145

Signature of

Role Plan administrator
Date 2018-06-08
Name of individual signing GABRIELA MURILLO
Valid signature Filed with authorized/valid electronic signature
NEW LASER EYE CENTER OF MIAMI 401 K PROFIT SHARING PLAN TRUST 2016 471736310 2017-06-28 NEW LASER EYE CENTER OF MIAMI 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 3054434733
Plan sponsor’s address 1661 SW 37TH AVE, CORAL GABLES, FL, 33145

Signature of

Role Plan administrator
Date 2017-06-28
Name of individual signing GABRIELA MURILLO
Valid signature Filed with authorized/valid electronic signature
NEW LASER EYE CENTER OF MIAMI 401 K PROFIT SHARING PLAN TRUST 2015 471736310 2016-06-07 NEW LASER EYE CENTER OF MIAMI 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 3054434733
Plan sponsor’s address 1661 SW 37TH AVE, CORAL GABLES, FL, 33145

Signature of

Role Plan administrator
Date 2016-06-07
Name of individual signing GABRIELA MURILLO
Valid signature Filed with authorized/valid electronic signature
NEW LASER EYE CENTER OF MIAMI 401 K PROFIT SHARING PLAN TRUST 2014 471736310 2015-06-24 NEW LASER EYE CENTER OF MIAMI 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 3054434733
Plan sponsor’s address 1661 SW 37TH AVE, CORAL GABLES, FL, 33145

Signature of

Role Plan administrator
Date 2015-06-24
Name of individual signing JOSEPH KURSTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LAZCANO, GABRIEL Agent 1661 SOUTHWEST 37TH AVENUE, MIAMI, FL 33145

President

Name Role Address
LAZCANO, GABRIEL G President 1661 SOUTHWEST 37TH AVENUE, MIAMI, FL 33145

Vice President

Name Role Address
AWAD, ABRAHAM Vice President 1661 SOUTHWEST 37TH AVENUE, MIAMI, FL 33145

Events

Event Type Filed Date Value Description
AMENDMENT 2015-05-26 No data No data
REGISTERED AGENT NAME CHANGED 2015-05-26 LAZCANO, GABRIEL No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-04
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-03-17
Amendment 2015-05-26

Date of last update: 21 Jan 2025

Sources: Florida Department of State