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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
SILVER, ROBERT B., PH.D. | Agent | 11959 Palba Way, FT MYERS, FL, 33912 |
Name | Role | Address |
---|---|---|
SILVER, ROBERT B. | Secretary | 11959 Palba Way, FT MYERS, FL, 33912 |
Name | Role | Address |
---|---|---|
SILVER, ROBERT B. | Director | 11959 Palba Way, FT MYERS, FL, 33912 |
Name | Role | Address |
---|---|---|
SILVER, ROBERT B. | President | 11959 Palba Way, FT MYERS, FL, 33912 |
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