| Entity Name: | S&D CLINICAL RESEARCH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Feb 2023 (2 years ago) |
| Document Number: | L23000094057 |
| FEI/EIN Number | 93-2569055 |
| Address: | 8140 college pkwy suite 104, Fort Myers, FL 33919 |
| Mail Address: | 8140 COLLEGE PKWY SUITE 104, fort myers, FL 33919 |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932972163 | 2023-10-31 | 2023-11-07 | 8140 COLLEGE PKWY STE 104, FORT MYERS, FL, 339195189, US | 8140 COLLEGE PKWY STE 104, FORT MYERS, FL, 339195189, US | |||||||||||||||||||||
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| Phone | +1 786-326-5615 |
| Fax | 2397221196 |
Authorized person
| Name | MS. SORAIDA TAMAYO LEYVA |
| Role | FAMILY NURSE PRACTITIONER |
| Phone | 7863265615 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112533200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, CHRIS, Dr. | Agent | 8140 COLLEGE PKWY SUITE 104, fort myers, FL 33919 |
| Name | Role | Address |
|---|---|---|
| Martinez, CHRIS R | Manager | 8140 college pkwy suite 104, Fort Myers, FL 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-09-20 | MARTINEZ, CHRIS, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-20 | 8140 COLLEGE PKWY SUITE 104, fort myers, FL 33919 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-28 | 8140 college pkwy suite 104, Fort Myers, FL 33919 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-28 | 8140 college pkwy suite 104, Fort Myers, FL 33919 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-05 |
| AMENDED ANNUAL REPORT | 2024-09-20 |
| AMENDED ANNUAL REPORT | 2024-05-28 |
| ANNUAL REPORT | 2024-01-09 |
| Florida Limited Liability | 2023-02-21 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
