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LAZARO FERNANDEZ, DDS, P.A.

Company Details

Entity Name: LAZARO FERNANDEZ, DDS, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Dec 1995 (29 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 03 Mar 1997 (28 years ago)
Document Number: P95000095570
FEI/EIN Number 65-0627182
Address: 8180 N.W. 155 STREET, SUITE 200, MIAMI LAKES, FL 33016
Mail Address: 8180 N.W. 155 STREET, SUITE 200, MIAMI LAKES, FL 33016
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619377249 2014-09-02 2014-09-02 8180 NW 155TH ST, SUITE 200, MIAMI LAKES, FL, 330165871, US 8180 NW 155TH ST, SUITE 200, MIAMI LAKES, FL, 330165871, US

Contacts

Phone +1 305-512-9250
Fax 3055129257

Authorized person

Name LAZARO C FERNANDEZ
Role DENTIST
Phone 3055129250

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN14160
State FL
Is Primary Yes

Agent

Name Role Address
FERNANDEZ, LAZARO Agent 8180 N.W. 155 STREET, MIAMI, FL 33016

President

Name Role Address
FERNANDEZ, LAZARO President 8180 N.W. 155 STREET, MIAMI, FL 33016

Director

Name Role Address
FERNANDEZ, LAZARO Director 8180 N.W. 155 STREET, MIAMI, FL 33016

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000046070 FERNANDEZ DENTAL OFFICE EXPIRED 2013-05-14 2018-12-31 No data 8180 NW 155 STREET, MIAMI LAKES, FL, 33016

Events

Event Type Filed Date Value Description
REINSTATEMENT 1997-03-03 No data No data
CHANGE OF PRINCIPAL ADDRESS 1997-03-03 8180 N.W. 155 STREET, SUITE 200, MIAMI LAKES, FL 33016 No data
CHANGE OF MAILING ADDRESS 1997-03-03 8180 N.W. 155 STREET, SUITE 200, MIAMI LAKES, FL 33016 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-03-23
ANNUAL REPORT 2020-03-10
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-20
ANNUAL REPORT 2015-01-29

Date of last update: 02 Feb 2025

Sources: Florida Department of State