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Clanton Emergency Physicians, LLC

Details

Name: Clanton 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: 29 Oct 2021
Entity Number: 000-462-954
Register Number: 000462954
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Madison County
Principal Address: 200 CORPORATE BLVDLAFAYETTE, LA 70508
Registered Office Street Address: 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104

Activities MEDICAL MANAGEMENT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669428090 2006-05-26 2007-12-04 861 SW 78TH AVE, SUITE #100B, PLANTATION, FL, 333243229, US 1010 LAY DAM RD, EMERGENCY DEPARTMENT, CLANTON, AL, 350452306, US

Contacts

Phone +1 954-693-0000
Fax 9546930005
Phone +1 205-755-2500
Fax 2052803567

Authorized person

Name DR. DAVID SCOTT SCHILLINGER
Role MANAGING MEMBER
Phone 8008158377

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Member

Name Role Address
SCHILLINGER, JEFFREY Member 1300 RIVERPLACE BLVD STE 300JACKSONVILLE, FL 32207
HUBBARD, BRUCE B Member 238 WEST JERICHO TURNPIKEHUNTINGTON STATION, NY 11746

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State