| Entity Name: | RAPHAEL E. PEREZ, MD, OD, MBA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Nov 2000 (24 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 04 Aug 2017 (8 years ago) |
| Document Number: | P00000107117 |
| FEI/EIN Number | 651056748 |
| Address: | 1120 SW 8 STREET, MIAMI, FL, 33130, US |
| Mail Address: | 524 FERNWOOD RD., MIAMI, FL, 33149, US |
| ZIP code: | 33130 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326344870 | 2011-02-01 | 2015-11-24 | 524 FERNWOOD ROAD, MIAMI, FL, 331491842, US | 11466 S.W. QUAIL ROOST DRIVE, MIAMI, FL, 33157, US | |||||||||||||||
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| Phone | +1 305-255-8559 |
| Fax | 3052557880 |
Authorized person
| Name | DR. RAPHAEL E. PEREZ |
| Role | PRESIDENT |
| Phone | 7868531079 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ-BLANCO RAPHAEL E | Agent | 1120 SW 8 ST., MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| PEREZ-BLANCO RAPHAEL E | President | 1120 SW 8 ST., MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| PEREZ-BLANCO RAPHAEL E | Director | 1120 SW 8 ST., MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| PEREZ-BLANCO CRISTINA G | Secretary | 524 FERNWOOD RD., MIAMI, FL, 33149 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000016828 | COMPLETE EYE CENTER | ACTIVE | 2017-02-15 | 2027-12-31 | No data | 524 FERNWOOD ROAD, MIAMI, FL, 33149-1842 |
| G09019900134 | COMPLETE EYE CENTER | EXPIRED | 2009-01-18 | 2014-12-31 | No data | 524 FERNWOOD ROAD, MIAMI, FL, 33149 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2017-08-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-15 | 1120 SW 8 STREET, MIAMI, FL 33130 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-15 | 1120 SW 8 ST., MIAMI, FL 33130 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-26 | 1120 SW 8 STREET, MIAMI, FL 33130 | No data |
| CANCEL ADM DISS/REV | 2008-12-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-03-29 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-03-10 |
| ANNUAL REPORT | 2018-01-25 |
| Amendment | 2017-08-04 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-01-24 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9765237105 | 2020-04-15 | 0455 | PPP | 1120 Southwest 8th Street, MIAMI, FL, 33130-3604 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
