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
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 | |||||||||||||||
|
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 |
Name | Role |
---|---|
NIX, D M | Agent |
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