| Name: | IMC - Eastern Shore Women's Health, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 04 Jun 2019 (5 years ago) |
| Date of dissolution: | 14 Apr 2023 |
| Entity Number: | 000-577-540 |
| Register Number: | 000577540 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607 |
| Registered Office Street Address ZIP Code: | 36607 |
| Registered Office Mailing Address: | PO BOX 2226MOBILE, AL 36652 |
| Registered Office Mailing Address ZIP Code: | 36652 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437705704 | 2019-08-13 | 2019-08-13 | 188 HOSPITAL DR STE 202, FAIRHOPE, AL, 365322038, US | 188 HOSPITAL DR STE 202, FAIRHOPE, AL, 365322038, US | |||||||||||||
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| Phone | +1 251-279-3794 |
Authorized person
| Name | ANTHONY PALAZZO |
| Role | VICE PRESIDENT OF FINANCE |
| Phone | 2514351361 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NIX, D M | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
