| Entity Name: | MIGUEL F. PEREZ, MBA & ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 May 2019 (6 years ago) |
| Document Number: | L19000122713 |
| FEI/EIN Number | 84-1730228 |
| Address: | 4995 NW 72 AVE, SUITE 400, MIAMI, FL 33166 |
| Mail Address: | 4995 NW 72 AVE, SUITE 400, MIAMI, FL 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316547169 | 2020-10-30 | 2020-10-30 | 4995 NW 72ND AVE STE 400, MIAMI, FL, 331665643, US | 4995 NW 72ND AVE STE 400, MIAMI, FL, 331665643, US | |||||||||||||||||||
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| Phone | +1 786-413-7215 |
Authorized person
| Name | MIGUEL F PEREZ |
| Role | PRESIDENT |
| Phone | 7864137215 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | ATN812586 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ, MIGUEL F | Agent | 10803 SW 142 Court, Miami, FL 33186 |
| Name | Role | Address |
|---|---|---|
| PEREZ, MIGUEL F | Chief Executive Officer | 10803 SW 142 Court, MIAMI, FL 33186 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000049145 | MORLAS COMMUNITY MENTAL HEALTH CENTER | ACTIVE | 2023-04-18 | 2028-12-31 | No data | 4995 NW 72 AVENUE, SUITE 400, MIAMI, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-09 | 10803 SW 142 Court, Miami, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-29 | 4995 NW 72 AVE, SUITE 400, MIAMI, FL 33166 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-08 | 4995 NW 72 AVE, SUITE 400, MIAMI, FL 33166 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-04-29 |
| Florida Limited Liability | 2019-05-13 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
