Entity Name: | DAVID P CAMPBELL MD FACS PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 25 Jul 2024 (6 months ago) |
Document Number: | L24000329648 |
Address: | 2121 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239 |
Mail Address: | 2121 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239 |
ZIP code: | 34239 |
County: | Sarasota |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1619797347 | 2024-10-16 | 2024-10-16 | 2121 S TAMIAMI TRL, SARASOTA, FL, 342393804, US | 2121 S TAMIAMI TRL, SARASOTA, FL, 342393804, US | |||||||||||||||
|
Phone | +1 941-955-6363 |
Fax | 9415563768 |
Authorized person
Name | DAVID P CAMPBELL |
Role | OWNER |
Phone | 9419556363 |
Taxonomy
Taxonomy Code | 207W00000X - Ophthalmology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CAMPBELL, DAVID P | Agent | 2121 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239 |
Name | Role | Address |
---|---|---|
CAMPBELL, DAVID P | Authorized Member | 2121 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239 |
Name | Date |
---|---|
Florida Limited Liability | 2024-07-25 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State