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Azalea Orthopaedics & Sports Medicine, P.C.

Details

Name: Azalea Orthopaedics & Sports Medicine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 17 May 2002 (23 years ago) (Companies founded in May 2002)
Entity Number: 000-223-004
Register Number: 000223004
ZIP code: 36606 (Companies in Mobile, 36606)
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 2860 DAUPHIN ST STE BMOBILE, AL 36606
Authorized Capital: $5,000

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477534824 2005-11-10 2007-08-27 PO BOX 70016, MOBILE, AL, 366701016, US 2860 DAUPHIN ST, SUITE B, MOBILE, AL, 366062478, US

Contacts
Phone +1 251-479-1441
Fax 2514790144

Authorized person
Name DR. ROSEMARIE M MORWESSEL
Role PRESIDENT/OWNER
Phone 2514791441

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number 17698
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AZALEA ORTHOPAEDICS & SPORTS MEDICINE- SELECT 2015 201997093 2016-06-10 AZALEA ORTHOPAEDICS & SPORTS MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2514791441
Plan sponsor’s address 2860 DAUPHIN ST, SUITE B, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing DR. ROSEMARIE M. MORWESSEL
Role Employer/plan sponsor
Date 2016-06-09
Name of individual signing DR. ROSEMARIE M. MORWESSEL
AZALEA ORTHOPAEDICS SPORTS MEDICINE SELECT 2014 201997093 2015-05-20 AZALEA ORTHOPAEDICS & SPORTS MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2514791441
Plan sponsor’s address 2860 DAUPHIN STREET, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2015-05-20
Name of individual signing DR. ROSEMARIE M. MORWESSEL
Role Employer/plan sponsor
Date 2015-05-20
Name of individual signing DR. ROSEMARIE M. MORWESSEL
AZALEA ORTHOPAEDICS & SPORTS MEDICINE- SELECT PROFIT SHARING PLAN 2013 201997093 2014-07-25 AZALEA ORTHOPAEDICS & SPORTS MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2514791441
Plan sponsor’s address 2860 DAUPHIN STREET, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing DR. ROSEMARIE M. MORWESSEL
Role Employer/plan sponsor
Date 2014-07-23
Name of individual signing DR. ROSEMARIE M. MORWESSEL
AZALEA ORTHOPAEDICS & SPORTS MEDICINE- SELECT PROFIT SHARING PLAN 2012 201997093 2013-07-29 AZALEA ORTHOPAEDICS & SPORTS MEDICINE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2514791441
Plan sponsor’s address 2860 DAUPHIN STREET, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing ROSEMARIE M. MORWESSEL
Role Employer/plan sponsor
Date 2013-07-08
Name of individual signing ROSEMARIE M. MORWESSEL
AZALEA ORTHOPAEDICS & SPORTS MEDICINE- SELECT PROFIT SHARING PLAN 2011 201997093 2012-07-27 AZALEA ORTHOPAEDICS & SPORTS MEDICINE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2514791441
Plan sponsor’s address 2860 DAUPHIN STREET, MOBILE, AL, 36606

Plan administrator’s name and address
Administrator’s EIN 201997093
Plan administrator’s name AZALEA ORTHOPAEDICS & SPORTS MEDICINE
Plan administrator’s address 2860 DAUPHIN STREET, MOBILE, AL, 36606
Administrator’s telephone number 2514791441

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing ROSEMARIE M. MORWESSEL
Role Employer/plan sponsor
Date 2012-07-27
Name of individual signing ROSEMARIE M. MORWESSEL
AZALEA ORTHOPAEDICS SPORTS MEDICINE SELECT PROFIT SHARING PLAN 2010 201997093 2011-07-19 AZALEA ORTHOPAEDICS SPORTS MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2514791441
Plan sponsor’s address 2860 DAUPHIN STREET, MOBILE, AL, 36606

Plan administrator’s name and address
Administrator’s EIN 201997093
Plan administrator’s name AZALEA ORTHOPAEDICS SPORTS MEDICINE
Plan administrator’s address 2860 DAUPHIN STREET, MOBILE, AL, 36606
Administrator’s telephone number 2514791441

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing ROSEMARIE M. MORWESSEL
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing ROSEMARIE M. MORWESSEL

Agent

Name Role
MORWESSEL, ROSEMARIE M Agent

Incorporator

Name Role
MORWESSEL, ROSEMARIE M Incorporator

Related by officers

No related officers

Related by address

MOBILE, AL

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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