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MARIELA PEREZ, MD PA. - Florida Company Profile

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Company Details

Entity Name: MARIELA PEREZ, MD PA.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Jan 2005 (21 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 11 Apr 2005 (20 years ago)
Document Number: P05000011321
FEI/EIN Number 202141099
Address: 4490 SW 63 Ave, MIAMI, FL, 33155, US
Mail Address: 4490 SW 63 Ave, MIAMI, FL, 33155, US
ZIP code: 33155
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PEREZ MARIELA M President 4490 SW 63 Ave, MIAMI, FL, 33155
PEREZ MARIELA M Agent 4490 SW 63 Ave, MIAMI, FL, 33155

National Provider Identifier

NPI Number:
1174797724
Certification Date:
2025-05-01

Authorized Person:

Name:
MARIELA PEREZ
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3052458865

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-03-12 4490 SW 63 Ave, MIAMI, FL 33155 -
CHANGE OF MAILING ADDRESS 2018-03-12 4490 SW 63 Ave, MIAMI, FL 33155 -
REGISTERED AGENT ADDRESS CHANGED 2016-04-11 4490 SW 63 Ave, MIAMI, FL 33155 -
NAME CHANGE AMENDMENT 2005-04-08 MARIELA PEREZ, MD PA. -

Documents

Name Date
ANNUAL REPORT 2024-03-14
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-04-14
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-03-13
ANNUAL REPORT 2016-04-11
ANNUAL REPORT 2015-03-29

USAspending Awards / Financial Assistance

Date:
2020-05-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
24832.68
Total Face Value Of Loan:
0.00
Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
88240.00
Total Face Value Of Loan:
88240.00

Paycheck Protection Program

Jobs Reported:
17
Initial Approval Amount:
$88,240
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$88,240
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$88,997.39
Servicing Lender:
Space Coast CU
Use of Proceeds:
Payroll: $88,240

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Date of last update: 01 Jul 2025

Sources: Florida Department of State