Name: | AB Physiatry, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Series Ltd. Liability Company |
Status: | Exists |
Date of registration: | 09 May 2017 (8 years ago) |
Entity Number: | 000-390-971 |
Register Number: | 000390971 |
Historical Names: |
Andrew F. Barranco, MD, LLC
|
County: | Montgomery |
Place of Formation: | Montgomery County |
Registered Office Street Address: | 3815 INTERSTATE COURTMONTGOMERY, AL 36109 |
Registered Office Street Address ZIP Code: | 36109 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1033647045 | 2017-06-03 | 2023-08-15 | 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US | 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US | |||||||||||||
|
Phone | +1 205-514-1122 |
Authorized person
Name | ANDREW BARRANCO |
Role | PHYSICIAN |
Phone | 2055141122 |
Taxonomy
Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
Is Primary | Yes |
Name | Role |
---|---|
BARRANCO, STEVE | Agent |
Name | Role | Address |
---|---|---|
JOHNSON, D KYLE | Organizer | 150 S PERRY STMONTGOMERY, AL 36104 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2017-05-16 | Name Change | Andrew F. Barranco, MD, LLC | AB Physiatry, LLC |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State