| Entity Name: | LAZARO MIGUEL GARCIA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Jan 1995 (30 years ago) |
| Document Number: | P95000006491 |
| FEI/EIN Number | 65-0551117 |
| Address: | 3626 N.W. 7TH STREET, MIAMI, FL 33125 |
| Mail Address: | 3626 N.W. 7TH STREET, MIAMI, FL 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811203946 | 2010-08-26 | 2010-08-26 | 3626 NW 7TH ST, MIAMI, FL, 331254069, US | 3626 NW 7TH ST, MIAMI, FL, 331254069, US | |||||||||||||||||||||||
|
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| Phone | +1 305-643-4343 |
Authorized person
| Name | DR. LAZARO MIGUEL GARCIA |
| Role | PHYSICIAN OWNER |
| Phone | 3056434343 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME67163 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 376490700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA, LAZARO M | Agent | 3006 AVIATION AVE, S3A, COCONUT GROVE, FL 33133 |
| Name | Role | Address |
|---|---|---|
| GARCIA, LAZARO M | President | 3006 AVIATION AVE, S3A COCONUT GROVE, FL 33133 |
| Name | Role | Address |
|---|---|---|
| GARCIA, LAZARO M | Secretary | 3006 AVIATION AVE, S3A COCONUT GROVE, FL 33133 |
| Name | Role | Address |
|---|---|---|
| GARCIA, LAZARO M | Director | 3006 AVIATION AVE, S3A COCONUT GROVE, FL 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-14 | 3006 AVIATION AVE, S3A, COCONUT GROVE, FL 33133 | No data |
| CHANGE OF MAILING ADDRESS | 2009-05-01 | 3626 N.W. 7TH STREET, MIAMI, FL 33125 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-05-12 | 3626 N.W. 7TH STREET, MIAMI, FL 33125 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
