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  5. JAIME PEREZ, M.D., P.A.

JAIME PEREZ, M.D., P.A.

Company Details

Entity Name: JAIME PEREZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Dec 2000 (24 years ago)
Document Number: P00000112407
FEI/EIN Number 593654553
Address: 307 S MACDILL AVE, TAMPA, FL, 33609
Mail Address: 307 S. MACDILL AVE, TAMPA, FL, 33609
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124268339 2009-02-27 2009-02-27 307 S MACDILL AVE, TAMPA, FL, 336093141, US 307 S MACDILL AVE, TAMPA, FL, 336093141, US

Contacts
Phone +1 813-877-3739
Fax 8138773738

Authorized person
Name DR. JAIME PEREZ
Role PRESIDENT
Phone 8138773739

Taxonomy
Taxonomy Code 208200000X - Plastic Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAIME PEREZ, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 593654553 2013-07-12 JAIME PEREZ, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138773739
Plan sponsor’s address 307 S. MACDILL AVENUE, TAMPA, FL, 336093141

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing JAIME PEREZ, M.D.
Valid signature Filed with authorized/valid electronic signature
JAIME PEREZ, M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 593654553 2012-10-02 JAIME PEREZ, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138773739
Plan sponsor’s address 307 S. MACDILL AVENUE, TAMPA, FL, 336093141

Plan administrator’s name and address
Administrator’s EIN 593654553
Plan administrator’s name JAIME PEREZ, M.D., P.A.
Plan administrator’s address 307 S. MACDILL AVENUE, TAMPA, FL, 336093141
Administrator’s telephone number 8138773739

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing JAIME PEREZ, M.D.
Valid signature Filed with authorized/valid electronic signature
JAIME PEREZ, M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 593654553 2011-09-22 JAIME PEREZ, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138773739
Plan sponsor’s address 307 S. MACDILL AVENUE, TAMPA, FL, 336093141

Plan administrator’s name and address
Administrator’s EIN 593654553
Plan administrator’s name JAIME PEREZ, M.D., P.A.
Plan administrator’s address 307 S. MACDILL AVENUE, TAMPA, FL, 336093141
Administrator’s telephone number 8138773739

Signature of
Role Plan administrator
Date 2011-09-22
Name of individual signing JAIME PEREZ, M.D.
Valid signature Filed with authorized/valid electronic signature
JAIME PEREZ, M.D., P.A. 401(K) PROFIT SHARING PLAN 2009 593654553 2010-10-06 JAIME PEREZ, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138773739
Plan sponsor’s address 307 S. MACDILL AVENUE, TAMPA, FL, 336093141

Plan administrator’s name and address
Administrator’s EIN 593654553
Plan administrator’s name JAIME PEREZ, M.D., P.A.
Plan administrator’s address 307 S. MACDILL AVENUE, TAMPA, FL, 336093141
Administrator’s telephone number 8138773739

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing JAIME PEREZ, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PEREZ JAIME Agent 307 S MACDILL AVE, TAMPA, FL, 33609

Manager

Name Role Address
JAIME PEREZ Manager 307 S. MACDILL AVE, TAMPA, FL, 33609

Director

Name Role Address
JAIME PEREZ Director 307 S. MACDILL AVE, TAMPA, FL, 33609

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08304900197 PLASTIC SURGERY CENTER OF TAMPA ACTIVE 2008-10-30 2028-12-31 No data 307 S MACDILL AVE, TAMPA, FL, 33609

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2005-11-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data
CANCEL ADM DISS/REV 2004-10-04 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data

Related by officers

PEREZ JAIME

PEREZ BROTHERS, INC. M.P. HEAVY EQUIPMENT SERVICES, INC. TRIHUNIDOS, INC. ARONEM AIR CARGO, INC. X.O.T OF TAMPA, INC. J E HOME FINISHES, INC. EURO JET, CORP. JC CONSULTANTS ASSOCIATION, INC. PAN AMERICAN SOCIAL AND CULTURAL CLUB, INC. JP HOME FINISHES, INC.

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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