| Name: | Dysautonomia-MVP Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Feb 2015 (10 years ago) |
| Entity Number: | 000-329-132 |
| Register Number: | 000329132 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2470 ROCKY RIDGE ROAD SUITE 200VESTAVIA, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
Activities
OWN AND OPERATE A MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518359025 | 2015-02-21 | 2015-02-21 | 2470 ROCKY RIDGE RD, SUITE 200, VESTAVIA, AL, 352432833, US | 2470 ROCKY RIDGE RD, SUITE 200, VESTAVIA, AL, 352432833, US | |||||||||||||||||||||||||||
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| Phone | +1 205-467-4969 |
| Phone | +1 205-529-5658 |
Authorized person
| Name | MRS. KIMBERLEE F SMITH |
| Role | OFFICE MANAGER |
| Phone | 2054674969 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 9924 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 14740 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE, PAULA D | Agent | 2470 ROCKY RIDGE ROAD SUITE 200VESTAVIA, AL 35243 |
| Name | Role | Address |
|---|---|---|
| MOORE, PAULA D | Organizer | 2470 ROCKY RIDGE ROAD SUITE 200VESTAVIA, AL 35243 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
