Name: | Total Performance Medicine LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of registration: | 13 Oct 2011 (13 years ago) (Companies founded in October 2011) |
Date of dissolution: | 15 Mar 2018 |
Entity Number: | 000-027-188 |
Register Number: | 000027188 |
ZIP code: | 35404 (Companies in Tuscaloosa, 35404) |
County: | Tuscaloosa |
Place of Formation: | Tuscaloosa County |
Registered Office Street Address: | 535 JACK WARNER PKWY NE STE J1TUSCALOOSA, AL 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 | |||||||||||||||||
|
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