| Name: | Serenity Family Medicine, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 09 May 2013 (12 years ago) |
| Date of dissolution: | 10 Jun 2016 |
| Entity Number: | 000-270-773 |
| Register Number: | 000270773 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 1130 BRADSHAW DRIVEFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609212547 | 2013-05-20 | 2013-05-20 | 1130 BRADSHAW DR, FLORENCE, AL, 356301438, US | 1130 BRADSHAW DR, FLORENCE, AL, 356301438, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 256-762-3839 |
Authorized person
| Name | DR. PEARL GOVEA |
| Role | OWNER |
| Phone | 2567623839 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | MD32028 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOVEA-FLORES, ISMAEL | Agent | 1130 BRADSHAW DRIVEFLORENCE, AL 35630 |
| Name | Role | Address |
|---|---|---|
| GOVEA-FLORES, PEARL | Organizer | 1130 BRADSHAW DRIVEFLORENCE, AL 35630 |
| GOVEA-FLORES, ISMAEL | Organizer | 1130 BRADSHAW DRIVEFLORENCE, AL 35630 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
