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DAVIS FAMILY HEALTH AND WELLNESS LLC - Florida Company Profile

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Company Details

Entity Name: DAVIS FAMILY HEALTH AND WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Dec 2022 (3 years ago)
Document Number: L23000000787
FEI/EIN Number 92-1646258
Address: 1127 ROYAL PALM BEACH BLVD, #243, ROYAL PALM BEACH, FL, 33411, UN
Mail Address: 1127 ROYAL PALM BEACH BLVD, #243, ROYAL PALM BEACH, FL, 33411, UN
ZIP code: 33411
City: West Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DAVIS LILLIAN Vice President 1127 ROYAL PALM BEACH BLVD #243, ROYAL PALM BEACH, FL, 33411
DAVIS KEITH JR. President 1127 ROYAL PALM BEACH BLVD #243, ROYAL PALM BEACH, FL, 33411
DAVIS LILLIAN Agent 1127 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411

National Provider Identifier

NPI Number:
1255010310
Certification Date:
2023-07-16

Authorized Person:

Name:
LILLIAN DAVIS
Role:
VP
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-04-07
Florida Limited Liability 2022-12-27

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Date of last update: 03 Aug 2025

Sources: Florida Department of State