Detail by Officer/Registered Agent Name

Florida Limited Liability Company

CLINICAL SITE PARTNERS, LLC

Filing Information
L12000014221 45-4436651 01/30/2012 FL INACTIVE CONVERSION 07/22/2021 07/22/2021
Principal Address
1788 W. FAIRBANKS AVENUE, STE. B
WINTER PARK, FL 32789
Mailing Address
ATTN: ANA T MARQUEZ
12600 SW 120 STREET, #116
MIAMI, FL 33186

Changed: 04/27/2017
Registered Agent Name & Address MARQUEZ, ANA T
1788 W FAIRBANKS AVENUE
STE A
WINTER PARK, FL 32789

Address Changed: 04/25/2019
Authorized Person(s) Detail Name & Address

Title MGR

MARQUEZ, ANA T
1788 W FAIRBANKS AVENUE
STE A
WINTER PARK, FL 32789

Title MANAGER

FAKIH, FAISAL A, Dr.
1788 W FAIRBANKS AVENUE, #B
WINTER PARK, FL 32789

Title Authorized Member

MARQUEZ CLINICAL SITE PARTNERS, LLC
12600 SW 120 STREET, STE 116
MIAMI, FL 33186

Annual Reports
Report YearFiled Date
2019 04/25/2019
2020 06/16/2020
2021 04/29/2021