| Entity Name: | DAVIS FAMILY HEALTH AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Dec 2022 (2 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 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255010310 | 2023-07-17 | 2023-07-17 | 2151 45TH ST STE 102, WEST PALM BEACH, FL, 334072006, US | 2151 45TH ST STE 102, WEST PALM BEACH, FL, 334072006, US | |||||||||||||
|
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| Phone | +1 561-537-9012 |
Authorized person
| Name | LILLIAN DAVIS |
| Role | VP |
| Phone | 5616793150 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIS, LILLIAN | Agent | 1127 ROYAL PALM BEACH BLVD, #243, ROYAL PALM BEACH, FL 33411 |
| Name | Role | Address |
|---|---|---|
| DAVIS, LILLIAN | Vice President | 1127 ROYAL PALM BEACH BLVD #243, ROYAL PALM BEACH, FL 33411 |
| Name | Role | Address |
|---|---|---|
| DAVIS, KEITH, JR. | President | 1127 ROYAL PALM BEACH BLVD #243, ROYAL PALM BEACH, FL 33411 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-04-07 |
| Florida Limited Liability | 2022-12-27 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
