| Entity Name: | DAVIS SPINE AND ORTHOPAEDICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Oct 2018 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 15 Jun 2020 (5 years ago) |
| Document Number: | L18000250606 |
| FEI/EIN Number | 83-2350548 |
| Address: | 2629 Winguard Circle, WESLEY CHAPEL, FL, 33544, US |
| Mail Address: | 2629 Windguard Circle, WESLEY CHAPEL, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912462441 | 2019-02-08 | 2024-02-23 | 2629 WINDGUARD CIR, WESLEY CHAPEL, FL, 335447355, US | 2629 WINDGUARD CIR, WESLEY CHAPEL, FL, 335447355, US | |||||||||||||
|
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| Phone | +1 813-994-2225 |
Authorized person
| Name | CHARLES DAVIS II |
| Role | M.D. |
| Phone | 8139942225 |
Taxonomy
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIS CHARLES W | Agent | 31242 AMBERLEA ROAD, DADE CITY, FL, 33523 |
| Name | Role | Address |
|---|---|---|
| DAVIS CHARLES W | Manager | 31242 AMBERLEA ROAD, DADE CITY, FL, 33523 |
| TALLON SHELBY | Manager | 2629 Winguard Circle, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-16 | 2800 WINDGUARD CIRCLE, SUITE 101, WESLEY CHAPEL, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-16 | 2800 WINDGUARD CIRCLE, SUITE 101, WESLEY CHAPEL, FL 33544 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-10 | 2629 Winguard Circle, WESLEY CHAPEL, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-10 | 2629 Winguard Circle, WESLEY CHAPEL, FL 33544 | No data |
| LC AMENDMENT | 2020-06-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-12 |
| ANNUAL REPORT | 2021-01-15 |
| LC Amendment | 2020-06-15 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-06 |
| Florida Limited Liability | 2018-10-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
