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
LEESBURG, FL 34748
Mailing Address
1038 W. NORTH BLVD., SUITE 101
LEESBURG, FL 34748
LEESBURG, FL 34748
Registered Agent Name & Address
PALMETTO CHARTER SERVICES,INC
Address Changed: 05/20/2024
ONE DAYTONA BLVD
SUITE 600
DAYTONA BEACH, FL 32114
SUITE 600
DAYTONA BEACH, FL 32114
Address Changed: 05/20/2024
Authorized Person(s) Detail
Name & Address
Title CEO
MARQUEZ, ANA T
Title COO
DIAZ, JOSE L, DR.
Title CMO
ZELAYA, SHEYLA, DR.
Title CEO
MARQUEZ, ANA T
1960 ALAQUA DRIVE
LONGWOOD, FL 32779
LONGWOOD, FL 32779
Title COO
DIAZ, JOSE L, DR.
1038 W. NORTH BLVD., SUITE 101
LEESBURG, FL 34748
LEESBURG, FL 34748
Title CMO
ZELAYA, SHEYLA, DR.
1038 W. NORTH BLVD., SUITE 101
LEESBURG, FL 34748
LEESBURG, FL 34748
Annual Reports
Report Year | Filed Date |
2022 | 08/22/2022 |
2023 | 02/08/2023 |
2024 | 03/07/2024 |
Document Images