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IMC - Baldwin Surgery, LLC

Details

Name: IMC - Baldwin Surgery, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 11 Dec 2012 (12 years ago) (Companies founded in December 2012)
Entity Number: 000-272-996
Register Number: 000272996
Historical Names: IMC - Baldwin Surgery, 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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194062166 2013-01-11 2019-08-13 1340 N MCKENZIE ST, FOLEY, AL, 365352232, US 1340 N MCKENZIE ST, FOLEY, AL, 365352232, US

Contacts

Phone +1 251-943-1045
Fax 2519434833

Authorized person

Name ANTHONY PALAZZO
Role VICE PRESIDENT OF FINANCE
Phone 2514351361

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

Agent

Name Role
NIX, D M Agent

Events

Event Date Event Type Old Value New Value
2017-03-24 Name Change IMC - Baldwin Surgery, P.C. IMC - Baldwin Surgery, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State