| Name: | Jacksonville Internal Medicine & Wellness, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Feb 2017 (8 years ago) (Companies founded in February 2017) |
| Entity Number: | 000-382-334 |
| Register Number: | 000382334 |
| ZIP code: | 36265 (Companies in Calhoun, 36265) |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Registered Office Street Address: | 1701 PELHAM ROAD SOUTH SUITE BJACKSONVILLE, AL 36265 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679011969 | 2017-02-07 | 2023-11-01 | 1323 HAMRIC DR E STE A, OXFORD, AL, 362031917, US | 1323 HAMRIC DR E STE A, OXFORD, AL, 362031917, US | |||||||||||||||
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| Phone | +1 256-365-2416 |
| Fax | 2563652426 |
Authorized person
| Name | DR. EDUARDO J VILLEDA |
| Role | OWNER |
| Phone | 9176847325 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| VILLEDA, EDUARDO J | Agent |
| Name | Role |
|---|---|
| VILLEDA, EDUARDO J | Organizer |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
