| Entity Name: | IRA R LEFKOF, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 03 Nov 1994 (30 years ago) |
| Date of dissolution: | 14 Mar 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Mar 2021 (4 years ago) |
| Document Number: | P94000081484 |
| FEI/EIN Number | 65-0534853 |
| Address: | 3700 Washington St, SUITE 402, HOLLYWOOD, FL 33021 |
| Mail Address: | 3740 n. 32 AVE, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700155264 | 2011-12-29 | 2011-12-29 | 1150 N 35TH AVE, 525, HOLLYWOOD, FL, 330215424, US | 1150 N 35TH AVE, 525, HOLLYWOOD, FL, 330215424, US | |||||||||||||||||||||||||
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| Phone | +1 954-966-6630 |
| Fax | 9549666102 |
Authorized person
| Name | DR. IRA R LEFKOF |
| Role | PHYSICIAN |
| Phone | 9549666630 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0035862 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 370321500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEFKOF, IRA R | Agent | 3740 N. 32 AVE, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| LEFKOF, IRA R | Director | 3740 N. 32 AVE, HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-12 | 3700 Washington St, SUITE 402, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-23 | 3740 N. 32 AVE, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-23 | 3700 Washington St, SUITE 402, HOLLYWOOD, FL 33021 | No data |
| REINSTATEMENT | 2011-07-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REINSTATEMENT | 2009-10-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-14 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-11 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-01-26 |
| ANNUAL REPORT | 2012-01-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
