| Name: | Perfect Pain Solutions, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 04 Jan 2007 (18 years ago) |
| Date of dissolution: | 22 Dec 2009 |
| Entity Number: | 000-488-401 |
| Register Number: | 000488401 |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Principal Address: | WETUMPKA, AL |
| Registered Office Street Address: | 500 HOSPITAL DR STE DWETUMPKA, AL 36092 |
| Registered Office Street Address ZIP Code: | 36092 |
Activities
PAIN MANAGEMENT/MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922149954 | 2007-02-11 | 2009-06-09 | PO BOX 2726, BIRMINGHAM, AL, 352022726, US | 500 HOSPITAL DR, SUITE D, WETUMPKA, AL, 360921625, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-322-1808 |
| Fax | 2053221851 |
| Phone | +1 334-567-4311 |
| Fax | 3345675919 |
Authorized person
| Name | ROBERT L ENGLAND IV |
| Role | AUTHORIZED REPRESENTATIVE |
| Phone | 3345674311 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529922320 |
| State | AL |
| Name | Role |
|---|---|
| ENGLAND, ROBERT LEE IV | Member |
| SWEENEY, GERALD ANTHONY | Member |
| BRADFORD, DOUGLAS KEITH | Member |
| Name | Role |
|---|---|
| ENGLAND, ROBERT LEE IV | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
