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Foley Family Practice Management, LLC

Details

Name: Foley Family Practice Management, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 18 Aug 2015 (9 years ago) (Companies founded in August 2015)
Entity Number: 000-343-041
Register Number: 000343041
ZIP code: 36535 (Companies in Baldwin, 36535)
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 205 WEST ORANGE AVEFOLEY, AL 36535

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083080600 2015-08-18 2015-08-18 205 W ORANGE AVE, FOLEY, AL, 365351905, US 205 W ORANGE AVE, FOLEY, AL, 365351905, US

Contacts

Phone +1 251-943-6108
Fax 2519436108

Authorized person

Name TARA A WAITE
Role OWNER
Phone 2055227000

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
WAITE, TARA Agent 1408 OLD PINEYWOODS RDJASPER, AL 35504

Organizer

Name Role Address
PORTER, DIANE M Organizer 15213 HWY 59 NORTH SUITE #100FOLEY, AL 36535

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State