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Tuscaloosa Integrative Family Medicine, LLC

Details

Name: Tuscaloosa Integrative Family Medicine, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 May 2012 (12 years ago)
Entity Number: 000-060-033
Register Number: 000060033
Historical Names: Family Practice at The Falls, LLC
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 1735 LAKE HAVEN CIRCLETUSCALOOSA, AL 35406
Registered Office Street Address ZIP Code: 35406

Activities FAMILY MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629331681 2012-06-24 2023-10-02 5710 WATERMELON RD STE 600, NORTHPORT, AL, 354737696, US 5710 WATERMELON RD STE 600, NORTHPORT, AL, 354737696, US

Contacts

Phone +1 205-345-6272
Fax 2057581493
Fax 2053451684

Authorized person

Name DR. CAROLINE JOANNE DAY
Role OWNER
Phone 2058872042

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
DAY, CAROLINE Agent 1735 LAKE HAVEN CIRCLETUSCALOOSA, AL 35406

Member

Name Role Address
DAY, CAROLINE Member 1735 LAKE HAVEN CIRCLETUSCALOOSA, AL 35406

Events

Event Date Event Type Old Value New Value
2017-02-02 Name Change Family Practice at The Falls, LLC Tuscaloosa Integrative Family Medicine, LLC

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State