| Name: | The Florence Endocrine Clinic a Professional Limited Liability Company |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Dec 2015 (9 years ago) |
| Entity Number: | 000-353-453 |
| Register Number: | 000353453 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 125 SOUTH COURT STREET SUITE 200FLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750749628 | 2016-02-05 | 2020-02-11 | PO BOX 490, FLORENCE, AL, 356310490, US | 153 ANA DR, FLORENCE, AL, 356301731, US | |||||||||||||||
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| Phone | +1 256-284-7280 |
| Fax | 2562847284 |
Authorized person
| Name | BETHANY JACKSON |
| Role | PRESIDENT |
| Phone | 2562847280 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIVER, WILLIAM K | Agent | 121 SOUTH COURT STREET STE BFLORENCE, AL 35630 |
| Name | Role | Address |
|---|---|---|
| DIVER, WILLIAM K | Organizer | 121 SOUTH COURT STREET STE BFLORENCE, AL 35630 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
