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DR. ROGER DAVIS, LLC

Company Details

Entity Name: DR. ROGER DAVIS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 03 Jul 2023 (2 years ago)
Document Number: L23000316442
FEI/EIN Number 93-4364787
Address: 2557 SHERMAN OAK DR, NORTH PORT, FL 34289
Mail Address: 2557 SHERMAN OAK DR, NORTH PORT, FL 34289
ZIP code: 34289
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164103446 2023-07-28 2023-11-15 2557 SHERMAN OAK DR, NORTH PORT, FL, 342892390, US 2557 SHERMAN OAK DR, NORTH PORT, FL, 342892390, US

Contacts

Phone +1 573-776-0578

Authorized person

Name DR. ROGER DALE DAVIS
Role OWNER
Phone 5737760578

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes

Agent

Name Role Address
DAVIS, ROGER D, PHD Agent 2557 SHERMAN OAK DR, NORTH PORT, FL 34289

Manager

Name Role Address
DAVIS, ROGER D Manager 2557 SHERMAN OAK DR, NORTH PORT, FL 34289

Documents

Name Date
ANNUAL REPORT 2024-01-11
Florida Limited Liability 2023-07-03

Date of last update: 09 Jan 2025

Sources: Florida Department of State