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BAYSIDE REGENERATIVE MEDICINE, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
KALMBACHER, KRISTIN B Agent 100 N. BANCROFT ST., SUITE A1.5FAIRHOPE, AL 36532

Organizer

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