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 |
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 | |||||||||||||||||
|
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 |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY, INC. | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State