| Name: | Alabama Pediatric Pulmonary, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 14 Sep 2006 (18 years ago) (Companies founded in September 2006) |
| Date of dissolution: | 30 Nov 2012 |
| Entity Number: | 000-484-063 |
| Register Number: | 000484063 |
| ZIP code: | 35205 (Companies in Jefferson, 35205) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2660 TENTH AVE SOUTH STE 701BIRMINGHAM, AL 35205 |
Activities
PEDIATRIC PULMONARY MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215093224 | 2006-12-28 | 2020-08-22 | 2660 10TH AVENUE SOUTH, STE 701, BIRMINGHAM, AL, 352051628, US | 2660 10TH AVENUE SOUTH, STE 701, BIRMINGHAM, AL, 352051628, US | |||||||||||||||||||
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| Phone | +1 205-776-8789 |
| Fax | 2057768792 |
Authorized person
| Name | DANA MARIE BRASFIELD |
| Role | SOLE OWNER |
| Phone | 2057768789 |
Taxonomy
| Taxonomy Code | 2080P0214X - Pediatric Pulmonology Physician |
| License Number | 4130 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BRASFIELD, DANA M | Agent |
| Name | Role |
|---|---|
| BRASFIELD, DANA M | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
