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Therapy South - Florence LLC

Details

Name: Therapy South - Florence LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 18 May 2018 (6 years ago)
Entity Number: 000-519-128
Register Number: 000519128
County: Lauderdale
Place of Formation: Lauderdale County
Registered Office Mailing Address: 2807 GREYSTONE COM BLVD STE 32BIRMINGHAM, AL 35242
Registered Office Mailing Address ZIP Code: 35242
Registered Office Street Address: 3226 FLORENCE BOULEVARDFLORENCE, AL 35634
Registered Office Street Address ZIP Code: 35634

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275013351 2018-08-17 2018-08-17 2823 GREYSTONE COMM BLVD, BIRMINGHAM, AL, 35242, US 3226 FLORENCE BLVD, FLORENCE, AL, 35634, US

Contacts

Phone +1 205-745-3660
Fax 2057453649
Phone +1 256-275-3312
Fax 2563674122

Authorized person

Name STEPHEN FOSTER
Role PRESIDENT
Phone 2057453651

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
License Number 05839
State AL
Is Primary Yes

Agent

Name Role Address
FOSTER, STEPHEN M Agent 2807 GREYSTONE COMMERCIAL BLVD STE34BIRMINGHAM, AL 35242

Organizer

Name Role Address
BOWDRE, J. B J. BI Organizer 800 SHADES CREEK PKWY STE. 400BIRMINGHAM, AL 35209

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State