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TARA PHILCOX LIMITED LIABILITY COMPANY

Company Details

Entity Name: TARA PHILCOX LIMITED LIABILITY COMPANY
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Nov 2020 (4 years ago)
Document Number: L20000361063
FEI/EIN Number 85-4103489
Address: 9079 N DICKENS DR, CITRUS SPRINGS, FL 34434
Mail Address: 9079 N DICKENS DR, CITRUS SPRINGS, FL 34434
ZIP code: 34434
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316796949 2024-05-15 2024-05-15 9079 N DICKENS DR, CITRUS SPRINGS, FL, 344344943, US 9079 N DICKENS DR, CITRUS SPRINGS, FL, 344344943, US

Contacts

Phone +1 727-619-6309
Fax 3522187635

Authorized person

Name TARA A PHILCOX
Role OWNER
Phone 3055607583

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
PHILCOX, TARA A Agent 9079 N DICKENS DR, CITRUS SPRINGS, FL 34434

Manager

Name Role Address
PHILCOX, TARA A Manager 9079 N DICKENS DR, CITRUS SPRINGS, FL 34434 UN
PHILCOX, MARK A Manager 9079 N DICKENS DR, CITRUS SPRINGS, FL 34434

Documents

Name Date
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-03-15
Florida Limited Liability 2020-11-16

Date of last update: 15 Jan 2025

Sources: Florida Department of State