| Entity Name: | ICONIC CLINICAL RESEARCH, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Sep 2023 (a year ago) |
| Document Number: | P23000069495 |
| FEI/EIN Number | 93-3753654 |
| Address: | 352 nw 42 ave, MIAMI, FL, 33126, US |
| Mail Address: | 352 nw 42 ave, MIAMI, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558197525 | 2024-09-09 | 2024-09-09 | 351 NW 42ND AVE STE 204, MIAMI, FL, 331265670, US | 351 NW 42ND AVE STE 204, MIAMI, FL, 331265670, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 786-894-0155 |
| Fax | 7868940156 |
Authorized person
| Name | YANET PEREZ ALVAREZ |
| Role | ADMINISTRATOR |
| Phone | 7868036168 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QR1100X - Research Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PEREZ ALVAREZ YANET | Agent | 4906 SW 137 CT, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| PEREZ ALVAREZ YANET | President | 4906 SW 137 CT, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-16 | 352 nw 42 ave, unit 204, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-16 | 352 nw 42 ave, unit 204, MIAMI, FL 33126 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-16 |
| Domestic Profit | 2023-09-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
