| Entity Name: | LIVASKY CONCEPCION PEREZ , PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Feb 2019 (6 years ago) |
| Document Number: | P19000017857 |
| FEI/EIN Number | 83-3694585 |
| Address: | 20900 BISCAYNE BLVD, MIAMI, FL, 33180, US |
| Mail Address: | 2231 NE 191 ST, MIAMI, FL, 33180, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194586537 | 2024-01-22 | 2024-01-22 | 2231 NE 191ST ST, MIAMI, FL, 331802156, US | 2231 NE 191ST ST, MIAMI, FL, 331802156, US | |||||||||||||
|
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| Phone | +1 551-482-0554 |
Authorized person
| Name | LIVASKY CONCEPCION PEREZ |
| Role | PRESIDENT |
| Phone | 5514820554 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CONCEPCION PEREZ LIVASKY | Agent | 2231 NE 191 ST, MIAMI, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| Concepcion Perez Livasky Dr. | President | 2231 NE 191 ST, MIAMI, FL, 33180 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-16 |
| Domestic Profit | 2019-02-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
