{"entity":{"id":10176102,"state":"FL","state_id":"K38924","entity_name":"GULFSTREAM ANESTHESIA SERVICES IPA, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1988-10-14","filing_year":1988,"business_age_years":38,"principal_address1":"% ELISEO PEREZ, M.D.","principal_address2":"1930 N.E. 47TH STREET, SUITE 308","principal_city":"FT LAUDERDALE","principal_state":"FL","principal_zip":"33308","principal_country":"","mail_address1":"% ELISEO PEREZ, M.D.","mail_address2":"1930 N.E. 47TH STREET, SUITE 308","mail_city":"FT LAUDERDALE","mail_state":"FL","mail_zip":"33308","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"650128536","jurisdiction":null,"county":null,"last_transaction_date":"10091992","report_year_1":"1991","report_date_1":"07021991","report_year_2":"1991","report_date_2":"07021991","report_year_3":"1990","report_date_3":"06051990","agent_name":"Eliseo Perez","agent_type":"C","agent_address":"1930 NE 47TH STREET","agent_city":"FT LAUDERDALE","agent_state":"FL","agent_zip":"33308","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata4.txt","fetched_at":"2026-05-09 12:03:10","updated_at":"2026-05-09 12:03:10","last_accessed":null,"status_reason":null,"agent_name_raw":"PEREZ, ELISEO"},"officers":[{"name":"James W. (M.D.) Basta","first_name":"James","last_name":"Basta","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"1930 N.E. 47TH ST. #308","city":"FT. LAUDERDALE","state":"FL","zip":"","name_raw":"BASTA, JAMES W. (M.D.)"},{"name":"Richard B. (D.O.) Esack","first_name":"Richard","last_name":"Esack","title":"Treasurer","title_roles":["Treasurer"],"title_code":"treasurer","is_registered_agent":false,"address":"1930 N.E. 47TH ST.","city":"FT. LAUDERDALE","state":"FL","zip":"","name_raw":"ESACK, RICHARD B. (D.O.)"},{"name":"Anthony W. (M. Fiorello","first_name":"Anthony","last_name":"Fiorello","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"1930 N.E. 47TH ST.","city":"FT. LAUDERDALE","state":"FL","zip":"","name_raw":"FIORELLO, ANTHONY W. (M."},{"name":"Eliseo (M.D.) Perez","first_name":"Eliseo","last_name":"Perez","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"1930 N.E. 47TH ST.","city":"FT. LAUDERDALE","state":"FL","zip":"","name_raw":"PEREZ, ELISEO (M.D.)"}],"filing_history":[],"status_history":[],"unknown":["status_history: we do not collect status-change histories from the source feeds, so this empty list means we hold none — NOT that this company's status has never changed. Observed changes we DID see are under `history`."],"verified_domains":[],"history":null,"web_contact":null,"provenance_url":"https://private.rootz.global/api/provenance/FL/K38924"}