| Name: | Andalusia Emergency Physicians LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 11 Apr 2005 (20 years ago) (Companies founded in April 2005) |
| Date of dissolution: | 19 Nov 2013 |
| Entity Number: | 000-462-842 |
| Register Number: | 000462842 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Madison County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
Activities
MEDICAL MANAGEMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952356024 | 2006-05-24 | 2020-08-22 | 861 SW 78TH AVE, SUITE #100B, PLANTATION, FL, 333243229, US | 849 S THREE NOTCH ST, EMERGENCY DEPARTMENT, ANDALUSIA, AL, 364205325, US | |||||||||||||||||||
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| Phone | +1 954-693-0000 |
| Fax | 9546930005 |
| Phone | +1 334-222-8416 |
| Fax | 3344271525 |
Authorized person
| Name | DR. DAVID SCOTT SCHILLINGER |
| Role | MANAGING MEMBER |
| Phone | 8008158377 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| SCHILLINGER, JEFFREY | Member | 1300 RIVERPLACE BLVD STE 300JACKSONVILLE, FL 32207 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
