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KRISTEN DAVIDSON, PSY.D., PLLC - Florida Company Profile

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Company Details

Entity Name: KRISTEN DAVIDSON, PSY.D., PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Sep 2022 (3 years ago)
Document Number: L22000404696
FEI/EIN Number 92-0417108
Mail Address: 13606 CASSIOPEIA DR, ORLANDO, FL, 32828, US
Address: 3801 Avalon Park E. Blvd., Suite 200, Orlando, FL, 32828, US
ZIP code: 32828
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DAVIDSON KRISTEN Authorized Member 13606 CASSIOPEIA DR, ORLANDO, FL, 32828
DAVIDSON KRISTEN M Agent 13606 CASSIOPEIA DR, ORLANDO, FL, 32828

National Provider Identifier

NPI Number:
1316790942
Certification Date:
2024-04-11

Authorized Person:

Name:
DR. KRISTEN MICHELLE DAVIDSON
Role:
CLINICAL NEUROPSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8338951282

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-06 3801 Avalon Park E. Blvd., Suite 200, Orlando, FL 32828 -
CHANGE OF PRINCIPAL ADDRESS 2023-04-19 2497 Waving Moss Way, Winter Park, FL 32792 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-04-19
Florida Limited Liability 2022-09-16

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Date of last update: 02 Aug 2025

Sources: Florida Department of State