| Entity Name: | IMAGOS INSTITUTE OF PLASTIC SURGERY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Apr 1994 (31 years ago) |
| Document Number: | P94000031821 |
| FEI/EIN Number | 650484683 |
| Address: | 7190 SW 87 Avenue, STE 404, MIAMI, FL, 33173, US |
| Mail Address: | 7190 SW 87 Avenue, STE 404, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639592751 | 2014-01-24 | 2014-01-24 | 7190 SW 87TH AVE STE 404, MIAMI, FL, 331732512, US | 7190 SW 87TH AVE STE 404, MIAMI, FL, 331732512, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-596-2228 |
Authorized person
| Name | MRS. KATHY PEREZ-GURRI |
| Role | OFFICE MANAGER |
| Phone | 3055962228 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 2082S0099X - Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
| Is Primary | No |
| Taxonomy Code | 2082S0105X - Surgery of the Hand (Plastic Surgery) Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PEREZ-GURRI JOSE A. | Agent | 7190 SW 87 Avenue, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| PEREZ-GURRI JOSE A. | President | 7190 SW 87 Avenue, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| PEREZ-GURRI JOSE A. | Secretary | 7190 SW 87 Avenue, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| PEREZ-GURRI KATHY | Vice President | 7190 SW 87 Avenue, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2003-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| NAME CHANGE AMENDMENT | 1994-09-16 | IMAGOS INSTITUTE OF PLASTIC SURGERY, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
