Name: | BAYSIDE REGENERATIVE MEDICINE, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 26 Jun 2013 (11 years ago) |
Entity Number: | 000-282-125 |
Register Number: | 000282125 |
County: | Baldwin |
Place of Formation: | Baldwin County |
Registered Office Street Address: | 8335 GAYFER ROAD EXTENSION SUITE FFAIRHOPE, AL 36532 |
Registered Office Street Address ZIP Code: | 36532 |
Activities
GENERAL PRACTICE OF MEDICINE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1447691506 | 2013-07-17 | 2013-07-17 | 8335 GAYFER ROAD EXT, SUITE F, FAIRHOPE, AL, 365323051, US | 8335 GAYFER ROAD EXT, SUITE F, FAIRHOPE, AL, 365323051, US | |||||||||||||||||||
|
Phone | +1 251-990-8388 |
Fax | 2519908389 |
Authorized person
Name | DR. KRISTIN B KALMBACHER |
Role | OWNER |
Phone | 2519908388 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
License Number | 10302 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KALMBACHER, KRISTIN B | Agent | 100 N. BANCROFT ST., SUITE A1.5FAIRHOPE, AL 36532 |
Name | Role | Address |
---|---|---|
KALMBACHER, KRISTIN B | Organizer | 100 N. BANCROFT ST., SUITE A1.5FAIRHOPE, AL 36532 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State