STACEY MICHEL DAVIS, LLC
Nursing at Baymeadows Rd, Jacksonville, FL

License number
Florida ARNP9223841
Category
Nursing
Type
Family
Owner
Name: MRS. STACEY MICHEL DAVIS ARNP
Title: NURSE PRACTITIONER
Phone: (904) 993-1259
Address
Address
4217 Baymeadows Rd STE 3, Jacksonville, FL 32217
National Provider ID: 1518243476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about STACEY MICHEL DAVIS, LLC at bizstanding.com

STACEY MICHEL DAVIS, LLC

11672 Springboard Dr, Jacksonville, FL 32218

Status:
Inactive
Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Oct 24, 2011
Inactive since:
Sep 26, 2014
State ID:
L11000121212
Business type:
Florida Limited Liability Company
Manager:
Stacey M Davis Manager, inactive, 11672 Spingboard Dr, Jacksonville, FL 32218 (Physical)
Agent:
Stacey Davis,11672 Springboard Dr, Jacksonville, FL 32218 (Physical)
EIN:
45-3659792

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