| Name: | Sleep Apnea Professionals L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Jun 2010 (14 years ago) |
| Entity Number: | 000-448-237 |
| Register Number: | 000448237 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 7147 WYNNCLIFF DRMOBILE, AL 36695 |
| Registered Office Street Address ZIP Code: | 36695 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396057584 | 2010-07-05 | 2012-01-19 | PO BOX 91627, MOBILE, AL, 366911627, US | 1055 MONTLIMAR DR, MOBILE, AL, 366091708, US | |||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 251-706-1499 |
Authorized person
| Name | DR. FREDRICO ALBERT DIXON III |
| Role | PRESIDENT |
| Phone | 2517061499 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 5733C |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS LOCATION ID |
| Number | 511-13806 |
| State | AL |
| Issuer | MEDICAID |
| Number | 134191 |
| State | AL |
| Issuer | BCBS |
| Number | 00510BS |
| State | AL |
| Issuer | BCBS |
| Number | 510DN |
| State | AL |
| Name | Role |
|---|---|
| ROCKWELL, CEREZA | Agent |
| Name | Role |
|---|---|
| DIXON, FREDRICO A III | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
