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Southeastern Brace LLC

Details

Name: Southeastern Brace LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 12 Jul 2011 (13 years ago) (Companies founded in July 2011)
Date of dissolution: 19 Dec 2013
Entity Number: 000-019-246
Register Number: 000019246
ZIP code: 35226 (Companies in Jefferson, 35226)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 601 ONEAL DRBIRMINGHAM, AL 35226

Activities HEALTHCARE-DURABLE MEDICAL EQUIPMENT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760763916 2011-09-01 2011-09-01 860 MONTCLAIR RD, SUITE 955, BIRMINGHAM, AL, 352131923, US 860 MONTCLAIR RD, SUITE 955, BIRMINGHAM, AL, 352131923, US

Contacts

Phone +1 205-332-3169
Fax 8667020880

Authorized person

Name DR. ROBERT T THOMAS
Role OWNER
Phone 2053323160

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
AUSTIN, CHAD Agent 2868 ACTON ROAD SUITE 203BIRMINGHAM, AL 35243

Member

Name Role Address
HOOD, SHAWN Member 860 MONTCLAIR ROAD SUITE 955BIRMINGHAM, AL 35213

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State