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Focus-MD 1015, LLC

Details

Name: Focus-MD 1015, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Apr 2018 (7 years ago) (Companies founded in April 2018)
Entity Number: 000-515-285
Register Number: 000515285
ZIP code: 36607 (Companies in Mobile, 36607)
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 2560 OLD SHELL RDMOBILE, AL 36607

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215423686 2018-07-09 2024-02-05 2560 OLD SHELL RD, MOBILE, AL, 366073022, US 3829 LORNA RD STE 328, HOOVER, AL, 352447002, US

Contacts

Phone +1 251-378-8635
Fax 2513788636
Phone +1 205-968-1518
Fax 8773859053

Authorized person

Name EMILY LITTLE
Role OFFICE MANAGER
Phone 2059681518

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number DO-729
State AL
Is Primary Yes
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary No

Agent

Name Role Address
WILEY, JAMES Agent 2560 OLD SHELL RDMOBILE, AL 36607

Organizer

Name Role Address
WILEY, JAMES Organizer 2560 OLD SHELL RDMOBILE, AL 36607

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State