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Rosemore Primary Care and Rehab Services, LLC

Details

Name: Rosemore Primary Care and Rehab Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Dec 2014 (10 years ago)
Entity Number: 000-323-999
Register Number: 000323999
County: Jefferson
Place of Formation: Jefferson County
Principal Address: 3800 RIDGEWAY DRIVEBIRMINGHAM, AL 35209
Principal Address ZIP Code: 35209

Activities PROVIDE PHYSICIAN RELATED MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639561244 2015-02-19 2020-05-22 PO BOX 2391, BIRMINGHAM, AL, 352012391, US 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US

Contacts

Phone +1 205-999-1016
Fax 2058749197
Phone +1 205-868-2000

Authorized person

Name MICHAEL A ROSEMORE
Role PRESIDENT
Phone 2055141122

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number DO159
State AL
Is Primary Yes
Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary No

Agent

Name Role Address
ROSEMORE, MICHAEL Agent 3357 DELL ROADBIRMINGHAM, AL 35223

Organizer

Name Role Address
ROSEMORE, MICHAEL Organizer 3357 DELL ROADBIRMINGHAM, AL 35223

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State