| Name: | Ronderos Aesthetics, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 24 Mar 2006 (19 years ago) (Companies founded in March 2006) |
| Date of dissolution: | 31 Dec 2018 |
| Entity Number: | 000-476-809 |
| Register Number: | 000476809 |
| ZIP code: | 36605 (Companies in Mobile, 36605) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 2363 VENETIA RDMOBILE, AL 36605 |
Activities
MEDICAL SERVICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376725887 | 2007-11-27 | 2007-11-27 | 1132 HILLCREST RD, MOBILE, AL, 366953920, US | 1132 HILLCREST RD, MOBILE, AL, 366953920, US | |||||||||||||||||||||||||
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| Phone | +1 251-776-1380 |
| Fax | 2517761381 |
Authorized person
| Name | JENNIFER K RONDEROS |
| Role | M.D./OWNER |
| Phone | 2517761380 |
Taxonomy
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| License Number | 20619 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD AL |
| Number | 51544969 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| RONDEROS, JENNIFER K | Member | 105 FELS AVENUEFAIRHOPE, AL 36532 |
| Name | Role | Address |
|---|---|---|
| RONDEROS, JENNIFER K | Agent | 105 FELS AVENUEFAIRHOPE, AL 36532 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
