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SOUTHEASTERN FAMILY FOOT CARE, LLC

Details

Name: SOUTHEASTERN FAMILY FOOT CARE, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Jan 2013 (12 years ago)
Entity Number: 000-272-475
Register Number: 000272475
County: Coffee
Place of Formation: Coffee County
Registered Office Street Address: 805 E LEE STREET SUITE AENTERPRISE, AL 36330
Registered Office Street Address ZIP Code: 36330

Activities PRACTICE OF PODIATRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770018491 2017-05-01 2019-07-02 461 COTTON GIN RD, MONTGOMERY, AL, 361173558, US 461 COTTON GIN RD, MONTGOMERY, AL, 361173558, US

Contacts

Phone +1 334-557-0900
Fax 3345570901

Authorized person

Name DR. TROY DAVID ZIMBELMAN
Role DPM/OWNER
Phone 3343588666

Taxonomy

Taxonomy Code 213ES0131X - Foot Surgery Podiatrist
Is Primary Yes

Agent

Name Role Address
ZIMBELMAN, TROY Agent 660 MCQUEEN SMITH ROAD NORTH, STE FPRATTVILLE, AL 36068

Organizer

Name Role Address
ZIMBELMAN, TROY Organizer 660 MCQUEEN SMITH ROAD NORTH, STE FPRATTVILLE, AL 36068
GARNETT, TOMMY Organizer 461 COTTON GINMONTGOMERY, AL 36117
ZIMBELMAN, TRAVIS Organizer 660 MCQUEEN SMITH ROAD NORTH, STE FPRATTVILLE, AL 36068

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State