| Name: | Moore Family Health, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 22 Jun 2007 (17 years ago) |
| Date of dissolution: | 26 Mar 2020 |
| Entity Number: | 000-496-465 |
| Register Number: | 000496465 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 100 TOWNE CENTER BLVD STE 111TUSCALOOSA, AL 35406 |
| Registered Office Street Address ZIP Code: | 35406 |
Activities
MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992991483 | 2007-09-19 | 2010-03-22 | 1325 MCFARLAND BLVD STE 103, NORTHPORT, AL, 354763262, US | 1325 MCFARLAND BLVD STE 103, NORTHPORT, AL, 354763262, US | |||||||||||||||||||||||||
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| Phone | +1 205-330-4989 |
Authorized person
| Name | DR. KAREN STACY MOORE |
| Role | OWNER/PHYSICIAN |
| Phone | 2053304989 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 25444 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | 25444 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| MOORE, LEAMON THOMAS JR | Agent |
| Name | Role |
|---|---|
| MOORE, KAREN STACY GARDNER | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
