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IMC - Eastern Shore Women's Health, LLC

Details

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) (Companies founded in June 2019)
Date of dissolution: 14 Apr 2023
Entity Number: 000-577-540
Register Number: 000577540
ZIP code: 36607 (Companies in Mobile, 36607)
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607
Registered Office Mailing Address: PO BOX 2226MOBILE, AL 36652

National Provider Identifier

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

Contacts

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

Agent

Name Role
NIX, D M Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State