| Entity Name: | PEREZ GROUP MEDICAL SERVICE CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Oct 2006 (18 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P06000127950 |
| FEI/EIN Number | 383743587 |
| Address: | 6595 NW 36 STREET, SUITE 200 C, VIRGINIA GARDENS, FL, 33166 |
| Mail Address: | 6595 NW 36 STREET, SUITE 200 C, VIRGINIA GARDENS, FL, 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073729372 | 2007-05-15 | 2020-08-22 | 6595 NW 36TH ST, SUITE 200, VIRGINIA GARDENS, FL, 331666979, US | 6595 NW 36TH ST, SUITE 200, VIRGINIA GARDENS, FL, 331666979, US | |||||||||||||||||||||||||
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| Phone | +1 305-876-9008 |
| Fax | 3058769060 |
Authorized person
| Name | JESUS M PEREZ |
| Role | PRESIDENT OWNER |
| Phone | 3058769008 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC7384 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | HCC7384 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ JESUS M | Agent | 3610 SW 15 STREET, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| PEREZ JESUS M | Director | 3610 SW 15 ST, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| PEREZ JESUS M | President | 3610 SW 15 ST, MIAMI, FL, 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2006-10-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-10-27 | 6595 NW 36 STREET, SUITE 200 C, VIRGINIA GARDENS, FL 33166 | No data |
| CHANGE OF MAILING ADDRESS | 2006-10-27 | 6595 NW 36 STREET, SUITE 200 C, VIRGINIA GARDENS, FL 33166 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-01-31 |
| ANNUAL REPORT | 2007-06-21 |
| Amendment | 2006-10-27 |
| Domestic Profit | 2006-10-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
