| Name: | Affinity Cardiovascular Specialists, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Aug 2015 (9 years ago) |
| Entity Number: | 000-340-855 |
| Register Number: | 000340855 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 4000 MERIDIAN BLVDFRANKLIN, TN 37067 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215305925 | 2015-09-11 | 2023-08-22 | PO BOX 689022, FRANKLIN, TN, 370689022, US | 3680 GRANDVIEW PKWY STE 200, BIRMINGHAM, AL, 352433411, US | |||||||||||||||||||||
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| Fax | 2059718693 |
| Phone | +1 205-971-7500 |
| Fax | 2059717572 |
Authorized person
| Name | JENNIFER L JACKSON |
| Role | DIRECTOR |
| Phone | 8778929815 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RC0001X - Clinical Cardiac Electrophysiology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
