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Extended Foot Care Services, LLC

Details

Name: Extended Foot Care Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Mar 1998 (27 years ago)
Entity Number: 000-659-275
Register Number: 000659275
Historical Names: Goldberg & Rosen, L.L.C.
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 3610 WATERMELON ROAD STE 103NORTHPORT, AL 35473
Registered Office Street Address ZIP Code: 35473

Activities PODIATRIC & RELATED SERVICE TO NURSING HOMES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437207727 2007-01-05 2015-09-09 3610 WATERMELON RD, SUITE 103, NORTHPORT, AL, 354735170, US 3610 WATERMELON RD, SUITE 103, NORTHPORT, AL, 354735170, US

Contacts

Phone +1 205-345-9218
Fax 2053452952

Authorized person

Name DR. JACK S MARQUIS
Role OWNER
Phone 2053459218

Taxonomy

Taxonomy Code 213E00000X - Podiatrist
License Number 123
State AL
Is Primary Yes

Agent

Name Role Address
MARQUIS, JACK Agent 3610 WATERMELON ROAD STE 103NORTHPORT, AL 35473

Member

Name Role Address
MARQUIS, JACK Member 3610 WATERMELON ROAD STE 103NORTHPORT, AL 35473

Organizer

Name Role Address
MARQUIS, JACK Organizer 3610 WATERMELON ROAD STE 103NORTHPORT, AL 35473

Events

Event Date Event Type Old Value New Value
2015-07-01 Name Change Goldberg & Rosen, L.L.C. Extended Foot Care Services, LLC

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State