| Name: | Nidal Morrar, MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 May 2005 (19 years ago) |
| Entity Number: | 000-465-039 |
| Register Number: | 000465039 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | FOLEY, AL |
| Registered Office Street Address: | 1715 N BUNNER STFOLEY, AL 36535 |
| Registered Office Street Address ZIP Code: | 36535 |
Activities
TO RENDER PROFESSIONAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922298124 | 2007-07-25 | 2023-03-15 | 1604 N MCKENZIE ST, FOLEY, AL, 365352248, US | 1604 N MCKENZIE ST, FOLEY, AL, 365352248, US | |||||||||||||||||||||
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| Phone | +1 251-955-1030 |
| Fax | 2519555048 |
Authorized person
| Name | NIDAL MORRAR |
| Role | OWNER/PHYSICIAN |
| Phone | 2519551030 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1922298124 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| MORRAR, NIDAL | Agent | 1600 N MCKENZIE STREETFOLEY, AL 36535 |
| Name | Role | Address |
|---|---|---|
| MORRAR, NIDAL | Member | 1600 N MCKENZIE STREETFOLEY, AL 36535 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
