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