Name: | Felix Morris, M.D., LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 26 Apr 2002 (23 years ago) |
Entity Number: | 000-681-824 |
Register Number: | 000681824 |
County: | Lauderdale |
Place of Formation: | Lauderdale County |
Registered Office Street Address: | 201 SOUTH COURT STFLORENCE, AL 35630 |
Registered Office Street Address ZIP Code: | 35630 |
Activities
MEDICAL/PHYSICIAN SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1457400871 | 2007-01-09 | 2020-08-22 | 416 N SEMINARY ST, SUITE 2500, FLORENCE, AL, 356304657, US | 416 N SEMINARY ST, SUITE 2500, FLORENCE, AL, 356304657, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 256-764-7710 |
Fax | 2567653888 |
Authorized person
Name | MRS. DANA ANDREWS MULLEN |
Role | OFFICE ADMINISTRATOR |
Phone | 2567647710 |
Taxonomy
Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
License Number | 00012505 |
State | AL |
Is Primary | No |
Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
License Number | 18158 |
State | MS |
Is Primary | No |
Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
License Number | 00012505 |
State | AL |
Is Primary | No |
Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
License Number | 18158 |
State | MS |
Is Primary | No |
Taxonomy Code | 363LA2100X - Acute Care Nurse Practitioner |
License Number | 1-054374 |
State | AL |
Is Primary | No |
Other Provider Identifiers
Issuer | BLUE CROSS & BLUE SHIELD |
Number | 4043422 |
State | TN |
Issuer | BLUE CROSS & BLUE SHIELD |
Number | 515-30969 |
State | AL |
Issuer | BLUE CROSS & BLUE SHIELD |
Number | 4133557 |
State | TN |
Issuer | BLUE CROSS & BLUE SHIELD |
Number | 515-07933 |
State | AL |
Name | Role | Address |
---|---|---|
CORLEY, TIMOTHY K | Agent | 2815 DARBY DRIVEFLORENCE, AL 35630 |
Name | Role |
---|---|
MORRIS, FELIX | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State