| Entity Name: | FXM CLINICAL RESEARCH MIRAMAR, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jul 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Sep 2018 (6 years ago) |
| Document Number: | L18000174612 |
| FEI/EIN Number | 83-1353288 |
| Address: | 14601 SW 29TH ST, SUITE 208, MIRAMAR, FL, 33027, US |
| Mail Address: | 14601 SW 29TH ST, SUITE 208, MIRAMAR, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518446400 | 2018-08-10 | 2018-08-10 | 14601 SW 29TH ST STE 208, MIRAMAR, FL, 330274714, US | 14601 SW 29TH ST STE 208, MIRAMAR, FL, 330274714, US | |||||||||||||||||||
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| Phone | +1 954-430-1097 |
| Fax | 3056753152 |
Authorized person
| Name | MARITZA D. DIEGO |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 9544301097 |
Taxonomy
| Taxonomy Code | 261QR1100X - Research Clinic/Center |
| License Number | PA9110219 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIEGO MARITZA | Agent | 14601 SW 29TH ST, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| DIEGO MARITZA D | Manager | 14601 SW 29TH ST SUITE 208, MIRAMAR, FL, 33027 |
| DIEGO KEVIN | Manager | 14601 SW 29TH ST SUITE 208, MIRAMAR, FL, 33027 |
| MONCADA FRANCISCO | Manager | 14601 SW 29TH ST SUITE 208, MIRAMAR, FL, 33027 |
| JIMENEZ ANTONIO | Manager | 14601 SW 29TH ST SUITE 208, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2018-09-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-04-04 |
| LC Amendment | 2018-09-11 |
| Florida Limited Liability | 2018-07-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
