| Name: | Eastern Shore Urgent Care, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Jul 2007 (17 years ago) |
| Entity Number: | 000-497-619 |
| Register Number: | 000497619 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | DAPHNE, AL |
| Registered Office Street Address: | 114 DURNFORD HILL COURTDAPHNE, AL 36526 |
| Registered Office Street Address ZIP Code: | 36526 |
Activities
MEDICAL CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376706275 | 2008-07-10 | 2008-07-10 | PO BOX 640, DAPHNE, AL, 365260640, US | 29710 URGENT CARE DRIVE, DAPHNE, AL, 36526, US | |||||||||||||||||
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| Phone | +1 251-602-6996 |
| Fax | 2516668398 |
| Phone | +1 251-626-3782 |
Authorized person
| Name | MICHAEL MAHONEY |
| Role | OWNER |
| Phone | 2516263782 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SIEGAL, MARK S | Agent |
| Name | Role |
|---|---|
| SIEGAL, MARK S | Member |
| MAHONEY, MICHAEL | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
