| Name: | Gulf Coast Occupational, Sports, and Pain Medicine, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Sep 2011 (13 years ago) |
| Entity Number: | 000-024-645 |
| Register Number: | 000024645 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 26645 CARONDALETTE DRIVEORANGE BEACH, AL 36561 |
| Registered Office Street Address ZIP Code: | 36561 |
Activities
ANY LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003238569 | 2014-01-16 | 2020-07-23 | 222 S ALSTON ST, FOLEY, AL, 365351914, US | 222 S ALSTON ST, FOLEY, AL, 365351914, US | |||||||||||||||||||
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| Phone | +1 251-923-2050 |
| Fax | 2519232051 |
Authorized person
| Name | RON R LEE |
| Role | OWNER |
| Phone | 2519232050 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 23039 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEE, RON | Agent | 1324 YUKON STREETBIRMINGHAM, AL 35224 |
| Name | Role | Address |
|---|---|---|
| LEE, RON | Organizer | 1324 YUKON STREETBIRMINGHAM, AL 35224 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
