Detail by Officer/Registered Agent Name

Florida Limited Liability Company

CLINICAL SITE PARTNERS LEESBURG, LLC

Filing Information
L20000136834 85-1205415 05/26/2020 FL ACTIVE
Principal Address
1038 W. NORTH BLVD., SUITE 101
LEESBURG, FL 34748
Mailing Address
1038 W. NORTH BLVD., SUITE 101
LEESBURG, FL 34748
Registered Agent Name & Address PALMETTO CHARTER SERVICES, INC.
149 S. RIDGEWOOD AVENU SUITE 700
DAYTONA, FL 32114
Authorized Person(s) Detail Name & Address

Title CEO

MARQUEZ, ANA T
1960 ALAQUA DRIVE
LONGWOOD, FL 32779

Title COO

DIAZ, JOSE L, DR.
1038 W. NORTH BLVD., SUITE 101
LEESBURG, FL 34748

Title CMO

ZELAYA, SHEYLA, DR.
1038 W. NORTH BLVD., SUITE 101
LEESBURG, FL 34748

Annual Reports
Report YearFiled Date
2022 08/22/2022
2023 02/08/2023
2024 03/07/2024