| Name: | IMC - North Baldwin Internal Medicine, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Dec 2010 (14 years ago) (Companies founded in December 2010) |
| Entity Number: | 000-266-057 |
| Register Number: | 000266057 |
| Historical Names: |
IMC - South Coast Family Physicians, P.C.
IMC- North Baldwin Internal Medicine, P.C. |
| ZIP code: | 36604 (Companies in Mobile, 36604) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607 |
| Principal Address: | 1700 SPRINGHILL AVENUEMOBILE, AL 36604 |
| Principal Mailing Address: | PO BOX 2226MOBILE, AL 36652 |
Activities
TO RENDER PROFESSIONAL MEDICAL SVCS & SERVICES ANCILLARY THERETO
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841581824 | 2011-04-26 | 2019-06-05 | 2004 MEDICAL CENTER DR, SUITE 2, BAY MINETTE, AL, 365074163, US | 2004 MEDICAL CENTER DR, SUITE 2, BAY MINETTE, AL, 365074163, US | |||||||||||||||
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| Phone | +1 251-937-7910 |
| Fax | 2519371846 |
Authorized person
| Name | MR. ANTHONY PALAZZO |
| Role | VICE PRESIDENT OF FINANCE |
| Phone | 2514351361 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NIX, D M | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2017-03-24 | Name Change | IMC- North Baldwin Internal Medicine, P.C. | IMC - North Baldwin Internal Medicine, LLC |
| 2011-04-22 | Name Change | IMC - South Coast Family Physicians, P.C. | IMC- North Baldwin Internal Medicine, P.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
