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  5. VIOLETTA LYRA, M.D., P.A.

VIOLETTA LYRA, M.D., P.A.

Company Details

Entity Name: VIOLETTA LYRA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Dec 1999 (25 years ago)
Document Number: P99000109707
FEI/EIN Number 650969194
Address: 1380 NE Miami Gardens Drive, North Miami Beach, FL, 33179, US
Mail Address: 1380 NE Miami Gardens Drive, North Miami Beach, FL, 33179, US
ZIP code: 33179
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568581767 2007-03-28 2018-03-17 1380 NE MIAMI GARDENS DR STE 260, NORTH MIAMI BEACH, FL, 331794721, US 1380 NE MIAMI GARDENS DR STE 260, NORTH MIAMI BEACH, FL, 331794721, US

Contacts
Phone +1 305-466-2496
Fax 3054662497

Authorized person
Name DR. VIOLETTA LYRA
Role PRESIDENT
Phone 3054662496

Taxonomy
Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VIOLETTA LYRA, M.D., P.A. PROFIT SHARING PLAN 2011 650969194 2013-02-21 VIOLETTA LYRA, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3054662496
Plan sponsor’s address 2999 NE 191 STREET, SUITE 260, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 650969194
Plan administrator’s name VIOLETTA LYRA, M.D., P.A.
Plan administrator’s address 2999 NE 191 STREET, SUITE 260, AVENTURA, FL, 33180
Administrator’s telephone number 3054662496

Signature of
Role Plan administrator
Date 2013-02-21
Name of individual signing VIOLETTA LYRA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-21
Name of individual signing VIOLETTA LYRA, MD
Valid signature Filed with authorized/valid electronic signature
VIOLETTA LYRA, M.D., P.A. PROFIT SHARING PLAN 2011 650969194 2012-06-07 VIOLETTA LYRA, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3054662496
Plan sponsor’s address 2999 NE 191 STREET, SUITE 260, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 650969194
Plan administrator’s name VIOLETTA LYRA, M.D., P.A.
Plan administrator’s address 2999 NE 191 STREET, SUITE 260, AVENTURA, FL, 33180
Administrator’s telephone number 3054662496

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing VIOLETTA LYRA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-06
Name of individual signing VIOLETTA LYRA, MD
Valid signature Filed with authorized/valid electronic signature
VIOLETTA LYRA, M.D., P.A. PROFIT SHARING PLAN 2010 650969194 2011-04-27 VIOLETTA LYRA, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3054662496
Plan sponsor’s address 2999 NE 191 STREET, SUITE 260, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 650969194
Plan administrator’s name VIOLETTA LYRA, M.D., P.A.
Plan administrator’s address 2999 NE 191 STREET, SUITE 260, AVENTURA, FL, 33180
Administrator’s telephone number 3054662496

Signature of
Role Plan administrator
Date 2011-04-27
Name of individual signing VIOLETTA LYRA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-27
Name of individual signing VIOLETTA LYRA, MD
Valid signature Filed with authorized/valid electronic signature
VIOLETTA LYRA, M.D., P.A. PROFIT SHARING PLAN 2009 650969194 2010-07-21 VIOLETTA LYRA, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3054662496
Plan sponsor’s address 2999 NE 191 STREET, SUITE 260, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 650969194
Plan administrator’s name VIOLETTA LYRA, M.D., P.A.
Plan administrator’s address 2999 NE 191 STREET, SUITE 260, AVENTURA, FL, 33180
Administrator’s telephone number 3054662496

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing VIOLETTA LYRA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-21
Name of individual signing VIOLETTA LYRA, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LYRA VIOLETTA Agent 1380 NE Miami Gardens Drive, North Miami Beach, FL, 33179

President

Name Role Address
LYRA VIOLETTA M President 1380 NE Miami Gardens Drive, North Miami Beach, FL, 33179

Events

Event Type Filed Date Value Description
REINSTATEMENT 2017-10-15 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Related by officers

No related officers

Related by address

1380 NE Miami Gardens Drive, North Miami Beach, FL, 33179, US

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1380 NE Miami Gardens Drive, North Miami Beach, FL, 33179, US

BOCA WEST IMP, LLC

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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