| Entity Name: | OCTAVIO PEREZ-VELASCO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Oct 2002 (22 years ago) |
| Document Number: | P02000110077 |
| FEI/EIN Number | 134233022 |
| Address: | 1312 W FLETCHER AVE, SUITE A, TAMPA, FL, 33612, US |
| Mail Address: | 1312 W FLETCHER AVE, SUITE A, TAMPA, FL, 33612, US |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083865869 | 2008-10-10 | 2024-04-23 | 1312 W FLETCHER AVE, STE A, TAMPA, FL, 336123330, US | 1312 W FLETCHER AVE, STE A, TAMPA, FL, 336123330, US | |||||||||||||||||||||||
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| Phone | +1 813-964-0595 |
| Fax | 8139635071 |
Authorized person
| Name | OCTAVIO PEREZ-VELASCO |
| Role | PRESIDENT |
| Phone | 8139640595 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME81174 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PEREZ-VELASCO OCTAVIO J | Agent | 1312 W FLETCHER AVE, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| PEREZ-VELASCO OCTAVIO J | President | 1312 W FLETCHER AVE, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| PEREZ-VELASCO OCTAVIO J | Secretary | 1312 W FLETCHER AVE, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| PEREZ-VELASCO OCTAVIO J | Treasurer | 1312 W FLETCHER AVE, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-11 | 1312 W FLETCHER AVE, SUITE A, TAMPA, FL 33612 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-09 | 1312 W FLETCHER AVE, SUITE A, TAMPA, FL 33612 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-09 | 1312 W FLETCHER AVE, SUITE A, TAMPA, FL 33612 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-17 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-03-23 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
