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Jacksonville Surgical and Medical Affiliates, LLC

Details

Name: Jacksonville Surgical and Medical Affiliates, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Withdrawn
Date of registration: 28 Aug 2008 (16 years ago) (Companies founded in August 2008)
Entity Number: 000-616-273
Register Number: 000616273
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 501 CORPORATE CENTRE DR STE 200FRANKLIN, TN 37067
Registered Office Street Address: 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104

Activities HEALTHCARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104078831 2008-10-13 2008-10-13 1460 2ND AVE SW, JACKSONVILLE, AL, 362653358, US 1460 2ND AVE SW, JACKSONVILLE, AL, 362653358, US

Contacts

Phone +1 256-782-4395

Authorized person

Name TAMMY COBB
Role CFO
Phone 2567824520

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

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