| Name: | Dimitri Orgeron Medical LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Mar 2013 (12 years ago) (Companies founded in March 2013) |
| Entity Number: | 000-273-068 |
| Register Number: | 000273068 |
| ZIP code: | 36535 (Companies in Baldwin, 36535) |
| County: | Baldwin |
| Place of Formation: | Louisiana |
| Principal Mailing Address: | 3715 WILLIAMS BLVD STE 100KENNER, LA 70065 |
| Principal Address: | 1506 NORTH MCKENZIE STREET STE 106FOLEY, AL 36535 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083059190 | 2013-05-02 | 2015-11-13 | 2104 GAUSE BLVD W, SUITE A, SLIDELL, LA, 704604130, US | 1506 N MCKENZIE ST, SUITE 106, FOLEY, AL, 365352261, US | |||||||||||||||||||
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| Phone | +1 985-643-4512 |
| Fax | 9856434513 |
Authorized person
| Name | ELIZABETH M. DIMITRI |
| Role | PHYSICIAN/OWNER |
| Phone | 9856434512 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | 32590 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORDLE, MARYELIZABETH | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
