Search icon

LAZARO PRIEGUES, M.D., P.A.

Company Details

Entity Name: LAZARO PRIEGUES, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Nov 1999 (25 years ago)
Document Number: P99000103185
FEI/EIN Number 650964749
Address: 3661 S. MIAMI AVE, SUITE 905, MIAMI, FL, 33136, US
Mail Address: 3661 S. MIAMI AVE, SUITE 905, MIAMI, FL, 33136, US
ZIP code: 33136
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942454467 2008-11-11 2008-12-22 3661 S MIAMI AVE, SUITE 905, MIAMI, FL, 331334236, US 3661 S MIAMI AVE, SUITE 905, MIAMI, FL, 331334236, US

Contacts

Phone +1 305-856-7488
Fax 3058567477

Authorized person

Name LAZARO PRIEGUES
Role OWNER
Phone 3058567488

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAZARO PRIEGUES, M.D., P.A. 401(K) PROFIT SHARING PLAN 2023 650964749 2024-09-03 LAZARO PRIEGUES, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058567488
Plan sponsor’s address 3661 S MIAMI AVE., SUITE 905, MIAMI, FL, 33133
LAZARO PRIEGUES, M.D., P.A. 401(K) PROFIT SHARING PLAN 2022 650964749 2023-08-14 LAZARO PRIEGUES, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058567488
Plan sponsor’s address 3661 S MIAMI AVE., SUITE 905, MIAMI, FL, 33133
LAZARO PRIEGUES, M.D., P.A. 401(K) PROFIT SHARING PLAN 2021 650964749 2022-10-15 LAZARO PRIEGUES, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058567488
Plan sponsor’s address 3661 S MIAMI AVE., SUITE 905, MIAMI, FL, 33133
LAZARO PRIEGUES, M.D., P.A. 401(K) PROFIT SHARING PLAN 2020 650964749 2021-06-24 LAZARO PRIEGUES, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058567488
Plan sponsor’s address 3661 S MIAMI AVE., SUITE 905, MIAMI, FL, 33133
LAZARO PRIEGUES, M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 650964749 2020-06-23 LAZARO PRIEGUES, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058567488
Plan sponsor’s address 3661 S MIAMI AVE., SUITE 905, MIAMI, FL, 33133
LAZARO PRIEGUES, M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 650964749 2019-07-24 LAZARO PRIEGUES, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058567488
Plan sponsor’s address 3661 S MIAMI AVE., SUITE 905, MIAMI, FL, 33133
LAZARO PRIEGUES, M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 650964749 2018-07-20 LAZARO PRIEGUES, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058567488
Plan sponsor’s address 3661 S MIAMI AVE., SUITE 905, MIAMI, FL, 33133

Signature of

Role Plan administrator
Date 2018-07-20
Name of individual signing LAZARO PRIEGUES, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LACHTERMAN STEVEN J Agent 3001 PONCE DE LEON BLVD., CORAL GABLES, FL, 33134

Director

Name Role Address
PRIEGUES LAZARO Director 3661 S MIAMI AVE SUITE 905, MIAMI, FL, 33136

Date of last update: 02 Jan 2025

Sources: Florida Department of State