| Name: | Sedlak Surgical Associates, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 19 May 2008 (16 years ago) |
| Date of dissolution: | 28 Dec 2018 |
| Entity Number: | 000-257-368 |
| Register Number: | 000257368 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 1722 PINE STMONTGOMERY, AL 36106 |
| Registered Office Street Address ZIP Code: | 36106 |
| Authorized Capital: | 100 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134399827 | 2008-03-10 | 2008-03-10 | 1722 PINE ST, STE 201, MONTGOMERY, AL, 361061103, US | 1722 PINE ST, STE 201, MONTGOMERY, AL, 361061103, US | |||||||||||||||||
|
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| Phone | +1 334-264-8741 |
Authorized person
| Name | RANDAL MARK SEDLAK |
| Role | PROVIDER |
| Phone | 3342648741 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | MD12598 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SEDLACK, RANDAL M | Agent |
| Name | Role |
|---|---|
| SEDLAK, RANDAL M | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
