| Entity Name: | JORGE L. PEREZ POLANCO MD INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Mar 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Nov 2016 (8 years ago) |
| Document Number: | P12000029399 |
| FEI/EIN Number | 45-4902699 |
| Address: | 1062 Sylvia LN, Tampa, FL 33613 |
| Mail Address: | PO Box 271085, Tampa, FL 33688 |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891058707 | 2012-06-18 | 2012-06-18 | PO BOX 495009, PORT CHARLOTTE, FL, 339495009, US | 119 OAKFIELD DR, BRANDON, FL, 335115779, US | |||||||||||||||||||
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| Phone | +1 239-677-0323 |
| Fax | 8136003416 |
Authorized person
| Name | DR. JORGE L PEREZ |
| Role | OWNER |
| Phone | 2396770323 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME94246 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Perez, Jorge L | Agent | 1062 Sylvia LN, Tampa, FL 33613 |
| Name | Role | Address |
|---|---|---|
| PEREZ, JORGE L | President | po box 271085, Tampa, FL 33688 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-26 | 1062 Sylvia LN, Tampa, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 1062 Sylvia LN, Tampa, FL 33613 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-02 | Perez, Jorge L | No data |
| REINSTATEMENT | 2016-11-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-11-10 | 1062 Sylvia LN, Tampa, FL 33613 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-04-02 |
| AMENDED ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-04-24 |
| REINSTATEMENT | 2016-11-10 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
