Name: | Fyzical Princeton, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 19 Nov 2019 (5 years ago) |
Entity Number: | 000-593-573 |
Register Number: | 000593573 |
County: | Tuscaloosa |
Place of Formation: | Tuscaloosa County |
Registered Office Street Address: | 1300 MCFARLAND BLVD NE #150TUSCALOOSA, AL 35401 |
Registered Office Street Address ZIP Code: | 35401 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1417594110 | 2019-12-02 | 2022-02-08 | 198 MEDICAL CENTER DR, PRATTVILLE, AL, 360667286, US | 832 PRINCETON AVE SW, BIRMINGHAM, AL, 352111320, US | |||||||||||||||
|
Phone | +1 205-206-8231 |
Fax | 2052068337 |
Authorized person
Name | MR. DUSTIN M CLARY |
Role | OWNER |
Phone | 2052068231 |
Taxonomy
Taxonomy Code | 225100000X - Physical Therapist |
Is Primary | Yes |
Name | Role |
---|---|
STEPHENSON III, CARLISLE R MD | Agent |
Name | Role | Address |
---|---|---|
SNOW, STEPHEN E | Organizer | 1201 GREENSBORO AVETUSCALOOSA, AL 35401 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State