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Sunrise Skin Cancer Surgery Center, LLC

Details

Name: Sunrise Skin Cancer Surgery Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Apr 2013 (12 years ago) (Companies founded in April 2013)
Entity Number: 000-266-359
Register Number: 000266359
ZIP code: 36606 (Companies in Mobile, 36606)
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 70 MIDTOWN PARK EASTMOBILE, AL 36606

Activities PRACTICE OF DERMATOLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225579485 2017-03-20 2021-03-18 70 MIDTOWN PARK E, MOBILE, AL, 366064140, US 70 MIDTOWN PARK E STE A, MOBILE, AL, 366064140, US

Contacts

Phone +1 251-544-6407
Fax 2515446411

Authorized person

Name SARAH WIERSZALOWSKI
Role ADMINISTRATOR
Phone 2515446407

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
State AL
Is Primary Yes

Agent

Name Role Address
FREEMAN, SCOTT R Agent PO BOX 2385MOBILE, AL 36652

Organizer

Name Role Address
FREEMAN, ANDREW B Organizer 11 N WATER STREET SUITE 23200MOBILE, AL 36602
FREEMAN, SCOTT R Organizer PO BOX 2385MOBILE, AL 36652

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State