| Name: | Jacksonville Anesthesia, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Nov 2009 (15 years ago) (Companies founded in November 2009) |
| Entity Number: | 000-618-889 |
| Register Number: | 000618889 |
| Place of Formation: | Missouri |
| Principal Address: | 3102 ERIKA AVENUESEDALIA, MO 65301 |
| Registered Office Street Address: | 103 CAMBRIDGE LNRAINBOW CITY, AL 36906 |
Activities
CONDUCT ANY/ALL BUSINESS LIMITED LIABILITY COMPANIES ARE ALLOWED
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205165065 | 2009-12-08 | 2009-12-08 | PO BOX 1547, SEDALIA, MO, 653021547, US | 1701 PELHAM RD S, JACKSONVILLE, AL, 362653369, US | |||||||||||||||||||||
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| Phone | +1 660-826-5960 |
| Fax | 6608264852 |
| Phone | +1 256-435-4970 |
Authorized person
| Name | ROB CLEMENS |
| Role | CEO |
| Phone | 6608265960 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DOOLEY, LOWELL | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
