| Name: | JACKSON MONTGOMERY HOSPITALISTS, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 02 Nov 2011 (13 years ago) (Companies founded in November 2011) |
| Date of dissolution: | 23 Jan 2024 |
| Entity Number: | 000-028-996 |
| Register Number: | 000028996 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 200 CORPORATE BLVDLAFAYETTE, LA 70508 |
| Registered Office Street Address: | 2 NORTH JACKSON ST STE 605MONTGOMERY, AL 36104 |
Activities
MEDICAL SERVICES CONTRACT MANAGEMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770850638 | 2011-11-21 | 2015-11-16 | 300 S PARK RD, SUITE 400, HOLLYWOOD, FL, 330218593, US | 1725 PINE ST, MONTGOMERY, AL, 361061109, US | |||||||||||||
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| Phone | +1 877-693-5700 |
Authorized person
| Name | DAVID S SCHILLINGER |
| Role | PRESIDENT |
| Phone | 8776935700 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARZOLI, LESLIE | Organizer | 1300 RIVERPLACE BLVD, STE 300JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
