| Name: | Taylor Plastic Surgery, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Jun 2017 (7 years ago) |
| Entity Number: | 000-394-519 |
| Register Number: | 000394519 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 350 CYPRESS BEND DRIVEGULF SHORES, AL 36542 |
| Registered Office Street Address ZIP Code: | 36542 |
| Registered Office Mailing Address: | 4853 TIGER BROWN AVENUEORANGE BEACH, AL 36561 |
| Registered Office Mailing Address ZIP Code: | 36561 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841720869 | 2017-06-13 | 2020-08-03 | 350 CYPRESS BEND DRIVE, GULF SHORES, AL, 36542, US | 350 CYPRESS BEND DRIVE, GULF SHORES, AL, 36542, US | |||||||||||||||||||||||
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| Phone | +1 251-967-7000 |
| Fax | 2519677689 |
Authorized person
| Name | BRENTLEY RICHARD TAYLOR |
| Role | OWNER |
| Phone | 2052298573 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| License Number | 36097 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TAYLOR, BRENTLEY R TAYLOR | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
