| Name: | East Alabama Plastic Surgery, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Feb 2012 (13 years ago) |
| Entity Number: | 000-041-939 |
| Register Number: | 000041939 |
| County: | Lee |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 1935 E GLENN AVE, STE 102AUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| Principal Address: | 778 NORTH DEAN ROAD, SUITE 400AUBURN, AL 36830 |
| Principal Address ZIP Code: | 36830 |
Activities
PRACTICE MEDICINE/ANY AND ALL LEGAL LAWFUL PURPOSES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659634624 | 2012-06-24 | 2012-06-24 | 778 N DEAN RD, SUITE 400, AUBURN, AL, 368304312, US | 778 N DEAN RD, SUITE 400, AUBURN, AL, 368304312, US | |||||||||||||||||
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| Phone | +1 334-321-4989 |
Authorized person
| Name | DR. RALPH L AQUADRO III |
| Role | LLC MEMBER |
| Phone | 3343214989 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| License Number | MD.31455 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EAST ALABAMA PLASTIC SURGERY 401(K) PLAN | 2023 | 454744346 | 2024-05-20 | EAST ALABAMA PLASTIC SURGERY | 18 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-20 |
| Name of individual signing | QIAN LIU |
| Name | Role | Address |
|---|---|---|
| AQUADRO, RALPH L III | Agent | 1718 EASTON CTAUBURN, AL 36830 |
| Name | Role | Address |
|---|---|---|
| AQUADRO, RALPH LEO III | Organizer | 1842 HILLBROOK CIRCLEAUBURN, AL 36830 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
