| Name: | FM Clinic LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Nov 2020 (4 years ago) |
| Entity Number: | 000-822-591 |
| Register Number: | 000822591 |
| County: | Madison |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 180 OLD HIGHWAY 431 SUITE COWENS CROSS ROADS, AL 35763 |
| Registered Office Street Address ZIP Code: | 35763 |
| Registered Office Mailing Address: | PO BOX 11023HUNTSVILLE, AL 35814 |
| Registered Office Mailing Address ZIP Code: | 35814 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902402886 | 2020-12-07 | 2020-12-07 | PO BOX 6489, HUNTSVILLE, AL, 358130489, US | 107 GOVERNORS DRIVE SE, HUNTSVILLE, AL, 358013580, US | |||||||||||||||||
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| Phone | +1 256-781-0541 |
| Fax | 2692102495 |
| Phone | +1 256-428-2615 |
Authorized person
| Name | MUHAMMAD ALY |
| Role | MD/OWNER |
| Phone | 2567810541 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ALY, MUHAMMAD | Agent |
| Name | Role | Address |
|---|---|---|
| PEREZ, AYLEEN | Organizer | 212 W TROY ST STE BDOTHAN, AL |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
