| Entity Name: | SAN LAZARO MEDICAL GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 May 2016 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 07 Sep 2016 (8 years ago) |
| Document Number: | P16000046797 |
| FEI/EIN Number | 81-3320642 |
| Address: | 3271 NW 7th STREET, STE 211, MIAMI, FL, 33125, US |
| Mail Address: | 3271 NW 7th ST, STE 211, MIAMI, FL, 33125, US |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790231728 | 2016-08-30 | 2021-01-29 | 3271 NW 7TH ST STE 211, MIAMI, FL, 331254141, US | 3271 NW 7TH ST STE 211, MIAMI, FL, 331254141, US | |||||||||||||||
|
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| Phone | +1 786-294-0442 |
| Fax | 7862940124 |
Authorized person
| Name | MS. NIDIA D DOMINGUEZ |
| Role | VICE PRESIDENT |
| Phone | 7862940442 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ FELIPE | Agent | 3271 NW 7th ST, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| DOMIMGUEZ FELIPE | President | 3271 NW 7th ST, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ NIDIA D | Vice President | 3271 NW 7th ST, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ NIDIA D | Secretary | 3271 NW 7th ST, MIAMI, FL, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-05 | 3271 NW 7th STREET, STE 211, MIAMI, FL 33125 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-05 | 3271 NW 7th STREET, STE 211, MIAMI, FL 33125 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-05 | 3271 NW 7th ST, STE 211, MIAMI, FL 33125 | No data |
| AMENDMENT | 2016-09-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-27 |
| Amendment | 2016-09-07 |
| Domestic Profit | 2016-05-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
