| Name: | Alabama Oculoplastic Surgery, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 21 Jan 2020 (5 years ago) |
| Date of dissolution: | 02 Oct 2021 |
| Entity Number: | 000-599-388 |
| Register Number: | 000599388 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 2101 WEST CLINTON AVENUE SUITE 102HUNTSVILLE, AL 35805 |
| Registered Office Street Address ZIP Code: | 35805 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801421904 | 2020-03-09 | 2020-08-14 | 910 ADAMS ST SE STE 130, HUNTSVILLE, AL, 358013751, US | 910 ADAMS ST SE STE 130, HUNTSVILLE, AL, 358013751, US | |||||||||||||||||
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| Phone | +1 256-265-7863 |
| Phone | +1 256-265-6344 |
| Fax | 2562657965 |
Authorized person
| Name | DR. SARAH MIRELES JACOBS |
| Role | OWNER |
| Phone | 2562657863 |
Taxonomy
| Taxonomy Code | 207WX0200X - Ophthalmic Plastic and Reconstructive Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PENDERGRASS, J. C | Agent |
| Name | Role | Address |
|---|---|---|
| JACOBS, SARAH M. | Organizer | 1817 JACOBS LANEVESTAVIA HILLS, AL 35216 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
