| Name: | Alabama Bariatric and Wellness LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Dec 2013 (11 years ago) |
| Entity Number: | 000-293-622 |
| Register Number: | 000293622 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 1325 MCFARLAND BLVD SUITE 209NORTHPORT, AL 35476 |
| Registered Office Street Address ZIP Code: | 35476 |
Activities
MEDICAL AND PHYSICIAN WEIGHT LOSS SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316363740 | 2014-03-10 | 2014-03-10 | 1325 MCFARLAND BLVD. SUITE #209, NORTHPORT, AL, 35476, US | 1325 MCFARLAND BLVD. SUITE #209, NORTHPORT, AL, 35476, US | |||||||||||||||||||||
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| Phone | +1 205-330-1500 |
| Fax | 2053301505 |
| Phone | +1 205-333-1500 |
Authorized person
| Name | MRS. ANGELA TURNER FERNANDEZ |
| Role | ADMINISTRATOR |
| Phone | 2053301500 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 21808 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, DAVID | Agent | 1325 MCFARLAND BLVD SUITE 209NORTHPORT, AL 35476 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, DAVID | Organizer | 1325 MCFARLAND BLVD SUITE 209NORTHPORT, AL 35476 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
