| Name: | Syverson Medical Group, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Nov 2009 (15 years ago) |
| Entity Number: | 000-618-859 |
| Register Number: | 000618859 |
| County: | Baldwin |
| Place of Formation: | Florida |
| Principal Address: | 1400 N MCKENZIE STREETFOLEY, AL 36535 |
| Principal Address ZIP Code: | 36535 |
| Registered Office Street Address: | 5905 AIRPORT BLVDMOBILE, AL 36608 |
| Registered Office Street Address ZIP Code: | 36608 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255669099 | 2009-12-04 | 2013-03-25 | 1400 N MCKENZIE ST, FOLEY, AL, 365352234, US | 1400 N MCKENZIE ST, FOLEY, AL, 365352234, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 251-424-1200 |
| Fax | 2514241201 |
Authorized person
| Name | JAYNE KING |
| Role | MANAGER |
| Phone | 2514241200 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COLLINS, AMY | Agent | 332 DALEWOOD DRIVEMOBILE, AL 36608 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
