| Entity Name: | CHRISTOPHER DAVENPORT, MD, MBA, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Sep 2003 (21 years ago) |
| Document Number: | P03000105418 |
| FEI/EIN Number | 20-0253188 |
| Address: | 207 PALMOLA ST, LAKELAND, FL 33803 |
| Mail Address: | 207 PALMOLA ST, LAKELAND, FL 33803 |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528238201 | 2008-03-10 | 2020-11-24 | 207 PALMOLA ST, LAKELAND, FL, 338032242, US | 207 PALMOLA ST, LAKELAND, FL, 338032242, US | |||||||||||||||||||
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| Phone | +1 863-646-9600 |
| Fax | 3304226245 |
Authorized person
| Name | DR. CHRISTOPHER VERNON DAVENPORT |
| Role | PRESIDENT |
| Phone | 8636469600 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0087596 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVENPORT, CHRISTOPHER | Agent | 207 PALMOLA ST, LAKELAND, FL 33803 |
| Name | Role | Address |
|---|---|---|
| DAVENPORT, CHRISTOPHER V | President | 207 PALMOLA ST, LAKELAND, FL 33803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-11 | 207 PALMOLA ST, LAKELAND, FL 33803 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-11 | 207 PALMOLA ST, LAKELAND, FL 33803 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-11 | 207 PALMOLA ST, LAKELAND, FL 33803 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-09 |
| ANNUAL REPORT | 2019-01-24 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-03-27 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
