| Name: | Renaissance Orthopaedic Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 10 Apr 2008 (17 years ago) |
| Date of dissolution: | 31 Dec 2012 |
| Entity Number: | 000-418-625 |
| Register Number: | 000418625 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 2201 CLOYD BLVDFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194990739 | 2008-04-24 | 2008-04-24 | 2201 CLOYD BLVD, FLORENCE, AL, 356301505, US | 2201 CLOYD BLVD, FLORENCE, AL, 356301505, US | |||||||||||||||||
|
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| Phone | +1 256-768-9928 |
Authorized person
| Name | LLOYD JOHNSON III |
| Role | SOLE MEMBER |
| Phone | 2567689928 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | MD25810 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JOHNSON, LLOYD III | Member |
| Name | Role |
|---|---|
| JOHNSON, LLOYD III | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
