| Name: | Synergy Medical Real Estate Holdings, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 May 2019 (6 years ago) |
| Entity Number: | 000-575-669 |
| Register Number: | 000575669 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 200 CLINTON AVENUE W, SUITE 508HUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720680796 | 2020-11-13 | 2020-11-13 | 7105 BAILEY CREEK CIR SE STE B, HUNTSVILLE, AL, 358022797, US | 7105 BAILEY CREEK CIR SE STE B, HUNTSVILLE, AL, 358022797, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-603-5651 |
Authorized person
| Name | DR. MICHAEL CHANG |
| Role | EMPLOYEE |
| Phone | 2566035651 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207VB0002X - Obesity Medicine (Obstetrics & Gynecology) Physician |
| Is Primary | No |
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| Is Primary | No |
| Taxonomy Code | 261QF0050X - Non-Surgical Family Planning Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR1100X - Research Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MCCARTHA LAW, LLC | Agent | 100 JEFFERSON ST S SUITE 200HUNTSVILLE, AL 35801 |
| Name | Role |
|---|---|
| FIERRO, DAMON DR | Organizer |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
