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ENT Centers of Excellence, LLC

Details

Name: ENT Centers of Excellence, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Sep 2015 (9 years ago) (Companies founded in September 2015)
Entity Number: 000-344-475
Register Number: 000344475
ZIP code: 36535 (Companies in Baldwin, 36535)
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 1851 NORTH MCKENZIE STREET SUITE 106FOLEY, AL 36535

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689043515 2015-09-22 2016-03-04 1851 N MCKENZIE ST, SUITE 106, FOLEY, AL, 365354700, US 1851 N MCKENZIE ST, SUITE 106, FOLEY, AL, 365354700, US

Contacts

Phone +1 251-943-1117
Fax 2519431183

Authorized person

Name KEITH A. KOWAL
Role OWNER/PYSICIAN
Phone 2519431117

Taxonomy

Taxonomy Code 207Y00000X - Otolaryngology Physician
State AL
Is Primary Yes

Agent

Name Role
KOWAL, KEITH A Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State