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DYNAMIC Pain & Wellness, PLLC

Details

Name: DYNAMIC Pain & Wellness, PLLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 22 Sep 2015 (9 years ago) (Companies founded in September 2015)
Entity Number: 000-522-478
Register Number: 000522478
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Florida
Principal Address: 212 W. Troy St, Ste BDothan, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588288641 2020-06-04 2023-09-20 930 MAR WALT DR, UNIT C, FORT WALTON BEACH, FL, 325476706, US 2826 ROSS CLARK CIR STE 103, DOTHAN, AL, 363012017, US

Contacts

Phone +1 850-226-6801
Fax 8774135104
Phone +1 251-308-9800

Authorized person

Name SARAH BAILEY
Role ADMINISTRATOR
Phone 8503325274

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary Yes

Agent

Name Role Address
Registered Agents Inc Agent 212 W. Troy St. STE BDothan, AL 36303

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State