| Name: | Jacksonville Medical Professional Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Withdrawn |
| Date of registration: | 28 Nov 2006 (18 years ago) (Companies founded in November 2006) |
| Entity Number: | 000-611-988 |
| Register Number: | 000611988 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 501 CORPORATE CENTRE STE 200FRANKLIN, TN 37067 |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
Activities
HEALTHCARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073731774 | 2007-04-20 | 2020-08-22 | 1701 PELHAM RD S, JACKSONVILLE, AL, 362653353, US | 1701 PELHAM RD S, JACKSONVILLE, AL, 362653353, US | |||||||||||||||||||||||||
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| Phone | +1 256-820-5244 |
Authorized person
| Name | V KAREN FLINN |
| Role | VP |
| Phone | 2144733773 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
