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Fyzical Princeton, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
STEPHENSON III, CARLISLE R MD Agent

Organizer

Name Role Address
SNOW, STEPHEN E Organizer 1201 GREENSBORO AVETUSCALOOSA, AL 35401

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State