| Entity Name: | SDR CLINIC & SLEEP DISORDER INSTITUTE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Jul 2002 (23 years ago) |
| Document Number: | L02000017446 |
| FEI/EIN Number | 743051805 |
| Mail Address: | 7744 NW 112 PL, DORAL, FL, 33178, US |
| Address: | 2128 W. FLAGLER STREET, 1st FLOOR, MIAMI, FL, 33135, US |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598716961 | 2006-05-12 | 2009-05-07 | 836 PONCE DE LEON BLVD, SUITE 202, CORAL GABLES, FL, 331343039, US | 836 PONCE DE LEON BLVD, SUITE 202, CORAL GABLES, FL, 331343039, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-263-6820 |
| Fax | 3052636821 |
Authorized person
| Name | MARCO A. RAMIREZ |
| Role | MANAGING MEMBER |
| Phone | 3052636820 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | HCC4821 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
| License Number | HCC4821 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 265598500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAMIREZ MARCO A | Agent | 7744 NW 112 PL, DORAL, FL, 33178 |
| Name | Role | Address |
|---|---|---|
| RAMIREZ MARCO A | Managing Member | 7744 NW 112 PL, DORAL, FL, 33178 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000173952 | SDR CLINICAL RESEARCH,LLC | EXPIRED | 2009-11-10 | 2014-12-31 | No data | 836 PONCE DE LEON BOULEVARD, SUITE 202, CORAL GABLES, FL, 33134 |
| G09000138657 | SDR SLEEP DIAGNOSTICS, LLC | EXPIRED | 2009-07-24 | 2014-12-31 | No data | 836 PONCE DE LEON BLVD., SUITE 202, CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| LC AMENDMENT | 2013-07-25 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
