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ROBERT B. SILVER, PH.D., P.A.

Company Details

Entity Name: ROBERT B. SILVER, PH.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Apr 1985 (40 years ago)
Document Number: H54299
FEI/EIN Number 592545795
Address: 11959 PALBA WAY #6204, FT MYERS, FL, 33912, US
Mail Address: 11059 Palba Way, FT MYERS, FL, 33912, US
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295975753 2009-02-24 2009-02-24 4461 CAMINO REAL WAY, FORT MYERS, FL, 339661019, US 4461 CAMINO REAL WAY, FORT MYERS, FL, 339661019, US

Contacts

Phone +1 239-936-1336
Fax 2399364927

Authorized person

Name DR. ROBERT B SILVER
Role DIRECTOR
Phone 2399361336

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
License Number PY2600
State FL
Is Primary Yes

Agent

Name Role Address
SILVER, ROBERT B., PH.D. Agent 11959 Palba Way, FT MYERS, FL, 33912

Secretary

Name Role Address
SILVER, ROBERT B. Secretary 11959 Palba Way, FT MYERS, FL, 33912

Director

Name Role Address
SILVER, ROBERT B. Director 11959 Palba Way, FT MYERS, FL, 33912

President

Name Role Address
SILVER, ROBERT B. President 11959 Palba Way, FT MYERS, FL, 33912

Vice President

Name Role Address
Silver Deborah C Vice President 11959 Palba Way, FT MYERS, FL, 33912

Date of last update: 03 Feb 2025

Sources: Florida Department of State