| Name: | Patriot Healthcare of Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Withdrawn |
| Date of registration: | 05 Mar 2018 (7 years ago) (Companies founded in March 2018) |
| Entity Number: | 000-541-213 |
| Register Number: | 000541213 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Florida |
| Principal Address: | 100 Arricola AvenueSt. Augustine, FL 32080 |
| Registered Office Street Address: | 2 N Jackson Street, Suite 605Montgomery, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093284457 | 2018-11-15 | 2018-11-15 | 100 ARRICOLA AVENUE, ST. AUGUSTINE, FL, 32080, US | 2045 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 1, BIRMINGHAM, AL, 35209, US | |||||||||||||||
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| Phone | +1 904-825-4368 |
| Phone | +1 205-381-0011 |
Authorized person
| Name | DAVID A. CULVER |
| Role | ADMINISTRATOR |
| Phone | 9048254368 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T Corporation System | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
