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CLEARWATER RESOURCES, INC.

Company Details

Entity Name: CLEARWATER RESOURCES, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Inactive
Date Filed: 14 May 1996 (29 years ago)
Document Number: F96000002414
FEI/EIN Number 593378553
Address: 5317 FRUITVILLE ROAD, UNIT #73, SARASOTA, FL, 34232, US
Mail Address: 5317 FRUITVILLE ROAD, UNIT #73, SARASOTA, FL, 34232, US
ZIP code: 34232
County: Sarasota
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306839493 2005-08-24 2020-08-22 1455 BROAD STREET, 4TH FLOOR, BLOOMFIELD, NJ, 07003, US 2250 DREW STREET, CLEARWATER, FL, 33765, US

Contacts

Phone +1 973-873-9890
Fax 9737071127
Phone +1 727-797-0000
Fax 7277971965

Authorized person

Name LEAH SCHWARTZ
Role SENIOR CONTRACT MANAGER
Phone 9738739888

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
License Number HCC3677
State FL
Is Primary Yes

Agent

Name Role Address
BADERTSCHER DOUGLAS P Agent 5317 FRUITVILLE ROAD, SARASOTA, FL, 34232

CRO

Name Role Address
BADERTSCHER DOUGLAS P CRO 5317 FRUITVILLE ROAD UNIT #73, SARASOTA, FL, 34232

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08144900082 ACCESS IMAGING CENTER EXPIRED 2008-05-23 2013-12-31 No data C/O MEDICAL RESOURCES, INC., 1455 BROAD STREET, LEGAL DEPT., BLOOMFIELD, NJ, 07003

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2011-09-23 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State