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Physician Management Services of Alabama, LLC

Details

Name: Physician Management Services of Alabama, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 15 Feb 2017 (8 years ago) (Companies founded in February 2017)
Entity Number: 000-383-665
Register Number: 000383665
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Florida
Principal Address: 3113 Lawton Road, Suite 250Orlando, FL 32803
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568901742 2017-02-21 2017-02-21 3113 LAWTON RD, SUITE 250, ORLANDO, FL, 328033531, US 126 CLINIC DR, DOTHAN, AL, 363031980, US

Contacts

Phone +1 888-829-8550

Authorized person

Name BRETT KENEFICK
Role PRESIDENT
Phone 4077548723

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 19199
State AL
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY, INC. Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State