| Name: | Island Medical Shoals, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Merged |
| Date of registration: | 31 Aug 2015 (9 years ago) (Companies founded in August 2015) |
| Entity Number: | 000-342-684 |
| Register Number: | 000342684 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568832590 | 2015-10-02 | 2015-10-02 | PO BOX 74291, CLEVELAND, OH, 441944291, US | 201 AVALON AVE, MUSCLE SHOALS, AL, 356612805, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 631-514-7600 |
| Fax | 6319517123 |
| Phone | +1 256-386-1600 |
| Fax | 9042658181 |
Authorized person
| Name | DANIEL R FERRARA |
| Role | AUTHORIZED OFFICIAL |
| Phone | 6315147600 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| 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
