| Name: | IMC-Eastern Shore Family Practice, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 Jun 2017 (7 years ago) (Companies founded in June 2017) |
| Entity Number: | 000-393-828 |
| Register Number: | 000393828 |
| ZIP code: | 36607 (Companies in Mobile, 36607) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607 |
| Registered Office Mailing Address: | PO BOX 2226MOBILE, AL 36652 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235659319 | 2017-06-21 | 2017-06-21 | PO BOX 2226, MOBILE, AL, 366522226, US | 27961 HIGHWAY 98, SUITE 14, DAPHNE, AL, 36526, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 251-626-1175 |
| Fax | 2516261507 |
Authorized person
| Name | MR. ANTHONY PALAZZO |
| Role | VICE PRESIDENT OF FINANCE |
| Phone | 2514351361 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NIX, D MARK | Agent | 15 KINGSWAYMOBILE, AL 36608 |
| Name | Role | Address |
|---|---|---|
| BROWNING, SCOTT A | Organizer | 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
