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WILLIAM DAVIS, MD, PA

Company Details

Entity Name: WILLIAM DAVIS, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Jun 2014 (11 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: P14000048724
FEI/EIN Number 47-0998646
Address: 10075 JOG ROAD, 300, BOYNTON BEACH, FL, 33437, US
Mail Address: 10075 JOG ROAD, 300, BOYNTON BEACH, FL, 33437, US
ZIP code: 33437
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174926109 2014-10-05 2014-10-05 10075 S JOG RD, SUITE 300, BOYNTON BEACH, FL, 334373535, US 10075 S JOG RD, SUITE 300, BOYNTON BEACH, FL, 334373535, US

Contacts

Phone +1 561-737-9227

Authorized person

Name WILLIAM DAVIS
Role PRESIDENT
Phone 5617379227

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME76830
State FL
Is Primary Yes

Agent

Name Role
CUTTING EDGE VIRTUAL ASSISTANT, INC. Agent

President

Name Role Address
DAVIS WILLIAM CMD President 6033 SOUTHAMPTON SQUARE S., PALM BEACH GARDENS, FL, 33418

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2015-02-28
Domestic Profit 2014-06-03

Date of last update: 02 Feb 2025

Sources: Florida Department of State