| Name: | Total Performance Medicine LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 13 Oct 2011 (13 years ago) |
| Date of dissolution: | 15 Mar 2018 |
| Entity Number: | 000-027-188 |
| Register Number: | 000027188 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 535 JACK WARNER PKWY NE STE J1TUSCALOOSA, AL 35404 |
| Registered Office Street Address ZIP Code: | 35404 |
Activities
MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467739870 | 2011-11-14 | 2011-11-14 | 535 JACK WARNER PKWY NE, SUITE J-1, TUSCALOOSA, AL, 354045751, US | 535 JACK WARNER PKWY NE, SUITE J-1, TUSCALOOSA, AL, 354045751, US | |||||||||||||||||
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| Phone | +1 205-553-5111 |
Authorized person
| Name | DR. ADAM ROSS NORTICK |
| Role | PRESIDENT |
| Phone | 2055535111 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | 16195 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MORRIS, JOY | Organizer | 3000 OCONNOR CT NHELENA, AL 35080 |
| Name | Role | Address |
|---|---|---|
| MORRIS, JOY | Agent | 3000 OCONNOR CT NHELENA, AL 35080 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
