| Entity Name: | DAVID W. LAZAN, MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DAVID W. LAZAN, MD PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 Sep 1998 (27 years ago) |
| Date of dissolution: | 20 Jul 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Jul 2015 (10 years ago) |
| Document Number: | P98000078917 |
| FEI/EIN Number |
650859150
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1600 36TH ST, SUITE B, VERO BEACH, FL, 32960 |
| Mail Address: | 1600 36TH ST, SUITE B, VERO BEACH, FL, 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013921899 | 2006-07-28 | 2009-12-22 | 1600 36TH STREET, SUITE B, VERO BEACH, FL, 32960, US | 1600 36TH STREET, SUITE B, VERO BEACH, FL, 32960, US | |||||||||||||||||||||||||||
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| Phone | +1 772-569-4464 |
| Fax | 7725695656 |
Authorized person
| Name | MR. DAVID WALTER LAZAN |
| Role | OWNER |
| Phone | 7725694464 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | GHI |
| Number | 9647005 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | DD8912 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAZAN DAVID W | President | 1600 36TH ST, STE B, VERO BEACH, FL, 32960 |
| LAZAN DAVID W | Agent | 1600 36TH ST., VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-07-20 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-19 | 1600 36TH ST., SUITE B, VERO BEACH, FL 32960 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-10 | 1600 36TH ST, SUITE B, VERO BEACH, FL 32960 | - |
| CHANGE OF MAILING ADDRESS | 2006-04-10 | 1600 36TH ST, SUITE B, VERO BEACH, FL 32960 | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2015-07-20 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-03-28 |
| ANNUAL REPORT | 2010-04-26 |
| ANNUAL REPORT | 2009-03-19 |
| ANNUAL REPORT | 2008-03-24 |
| ANNUAL REPORT | 2007-09-21 |
| ANNUAL REPORT | 2006-04-10 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
