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FocusAL1011, LLC

Details

Name: FocusAL1011, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 24 Mar 2014 (11 years ago)
Date of dissolution: 19 Jul 2023
Entity Number: 000-306-295
Register Number: 000306295
County: De Kalb
Place of Formation: DeKalb County
Principal Address: 2202 JORDAN ROAD SUITE 501FORT PAYNE, AL 35967
Principal Address ZIP Code: 35967

Activities OPERATION OF A MEDICAL CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366861395 2014-04-07 2014-04-07 PO BOX 8159, MOBILE, AL, 366890159, US 2202 JORDAN RD SW STE 501, FORT PAYNE, AL, 359683691, US

Contacts

Phone +1 888-414-5810
Fax 2514145809

Authorized person

Name FRINE T ROCA
Role OWNER/MEDICAL DIRECTOR
Phone 8884145810

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary No
Taxonomy Code 2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary Yes

Organizer

Name Role Address
ROCA, FRINE T Organizer 2202 JORDAN ROAD SUITE 501FORT PAYNE, AL 35967
ROCA, GERARDO R Organizer 2202 JORDAN ROAD SUITE 501FORT PAYNE, AL 35967

Agent

Name Role Address
ROCA, FRINE T Agent 2202 JORDAN ROAD SUITE 501FORT PAYNE, AL 35967

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State