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Renaissance Orthopaedic Clinic, LLC

Details

Name: Renaissance Orthopaedic Clinic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 10 Apr 2008 (17 years ago) (Companies founded in April 2008)
Date of dissolution: 31 Dec 2012
Entity Number: 000-418-625
Register Number: 000418625
ZIP code: 35630 (Companies in Lauderdale, 35630)
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 2201 CLOYD BLVDFLORENCE, AL 35630

Activities MEDICAL PRACTICE

National Provider Identifier

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

Contacts

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

Member

Name Role
JOHNSON, LLOYD III Member

Agent

Name Role
JOHNSON, LLOYD III Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State