| Name: | Sunshine Pediatrics, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Oct 2020 (4 years ago) (Companies founded in October 2020) |
| Entity Number: | 000-736-413 |
| Register Number: | 000736413 |
| ZIP code: | 36804 (Companies in Lee, 36804) |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 3983 NASH CREEK DRIVEOPELIKA, AL 36804 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811595226 | 2020-10-16 | 2021-07-08 | 197 E UNIVERSITY DR STE 2, AUBURN, AL, 368326725, US | 197 E UNIVERSITY DR STE 2, AUBURN, AL, 368326725, US | |||||||||||||||||||||
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| Phone | +1 334-329-7862 |
| Fax | 3343297879 |
Authorized person
| Name | JESSICA R. ANGLIN |
| Role | SOLE MEMBER |
| Phone | 3347506621 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 267459 |
| State | AL |
| Name | Role |
|---|---|
| ANGLIN, JESSICA R | Agent |
| Name | Role | Address |
|---|---|---|
| BUCKNER, ANNA FUNDERBURK | Organizer | 1859 OGLETREE RDAUBURN, AL 36830-7606 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
