| Entity Name: | JOSE A PEREZ-ARCE, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Jan 2007 (18 years ago) |
| Date of dissolution: | 05 Mar 2009 (16 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Mar 2009 (16 years ago) |
| Document Number: | L07000006775 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 2289 HANNAH WAY SOUTH, DUNEDIN, FL, 34698 |
| Mail Address: | 2289 HANNAH WAY SOUTH, DUNEDIN, FL, 34698 |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730427816 | 2013-01-23 | 2013-01-23 | 12685 STARKEY RD STE 1, LARGO, FL, 337731421, US | 12685 STARKEY RD STE 1, LARGO, FL, 337731421, US | |||||||||||||||||||||||||
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| Phone | +1 727-535-9901 |
| Fax | 7275358760 |
Authorized person
| Name | JOSE ARMANDO PEREZ-ARCE |
| Role | MD |
| Phone | 7275359901 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME78768 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 257440300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ-ARCE JOSE A | Agent | 2289 HANNAH WAY SOUTH, DUNEDIN, FL, 34698 |
| Name | Role | Address |
|---|---|---|
| PEREZ-ARCE JOSE A | Managing Member | 2289 HANNAH WAY SOUTH, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2009-03-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-03-10 | PEREZ-ARCE, JOSE ADR | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2009-03-05 |
| ANNUAL REPORT | 2008-03-10 |
| Florida Limited Liability | 2007-01-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
