| Name: | Phoenix Medical, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Jul 2011 (13 years ago) (Companies founded in July 2011) |
| Entity Number: | 000-020-619 |
| Register Number: | 000020619 |
| ZIP code: | 35124 (Companies in Shelby, 35124) |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 100 APPLEGATE CIRPELHAM, AL 35124 |
Activities
MEDICAL FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548548365 | 2011-07-27 | 2011-07-27 | PO BOX 1212, CALERA, AL, 350401212, US | 801 GOODYEAR AVE, GADSDEN, AL, 359031133, US | |||||||||||||||||||||||
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| Phone | +1 205-685-8036 |
| Fax | 2056858077 |
| Phone | +1 256-439-5011 |
| Fax | 2564395007 |
Authorized person
| Name | DR. ZANIA A NARCISSE |
| Role | PHYSICIAN/OWNER |
| Phone | 2056858036 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | MD.29163 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NARCISSE, ZANIA | Agent |
| Name | Role | Address |
|---|---|---|
| BURFORD, JAMES F III | Organizer | 1318 ALFORD AVENUE STE 101BIRMINGHAM, AL 35226 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
