| Name: | Traffanstedt Internal Medicine, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 19 Apr 2012 (13 years ago) (Companies founded in April 2012) |
| Date of dissolution: | 02 Mar 2020 |
| Entity Number: | 000-032-244 |
| Register Number: | 000032244 |
| ZIP code: | 35244 (Companies in Jefferson, 35244) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2075 CROSSCREST DRHOOVER, AL 35244 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659630408 | 2012-05-15 | 2012-11-02 | 5330 STADIUM TRACE PKWY, SUITE 150, HOOVER, AL, 352444525, US | 5330 STADIUM TRACE PKWY, SUITE 150, HOOVER, AL, 352444525, US | |||||||||||||||||||||
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| Phone | +1 205-403-2020 |
| Fax | 2054032888 |
Authorized person
| Name | DR. F. DARLENE H. TRAFFANSTEDT |
| Role | OWNER |
| Phone | 2054032020 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | 102G709443 |
| State | AL |
| Name | Role |
|---|---|
| TRAFFANSTEDT, F D | Agent |
| Name | Role | Address |
|---|---|---|
| TRAFFANSTEDT, F DARLENE | Organizer | 2075 CROSSCREST DRHOOVER, AL 35244 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
