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Florala Family Care, LLC

Details

Name: Florala Family Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Aug 2010 (14 years ago)
Entity Number: 000-300-898
Register Number: 000300898
Historical Names: Eaglewing Aerosports, LLC
County: Covington
Place of Formation: Geneva County
Principal Address: 24245 5TH AVEFLORALA, AL 36442
Principal Address ZIP Code: 36442
Registered Office Street Address: 24245 5TH AVENUEFLORALA, AL 36442
Registered Office Street Address ZIP Code: 36442

Activities OFFICE OF PRIMARY CARE PHYSICIANS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467075275 2020-05-27 2020-05-27 PO BOX 328, GENEVA, AL, 363400328, US 24245 5TH AVE, FLORALA, AL, 364423523, US

Contacts

Phone +1 334-684-9208

Authorized person

Name PATRICIA SASSER
Role OFFICE MANAGER
Phone 3346849208

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role
KRAFT, KURT D Agent

Member

Name Role
KRAFT, KURT D Member

Events

Event Date Event Type Old Value New Value
2020-05-07 Name Change Eaglewing Aerosports, LLC Florala Family Care, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State