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COASTAL PEDIATRICS, LLC

Details

Name: COASTAL PEDIATRICS, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Mar 2021 (4 years ago) (Companies founded in March 2021)
Entity Number: 000-842-652
Register Number: 000842652
ZIP code: 35901 (Companies in Etowah, 35901)
County: Etowah
Place of Formation: Alabama
Registered Office Street Address: 413 Broad StreetGadsden, AL 35901

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689438111 2024-02-06 2024-02-06 19283 STATE HIGHWAY 59, SUMMERDALE, AL, 365803005, US 19283 STATE HIGHWAY 59, SUMMERDALE, AL, 365803005, US

Contacts

Phone +1 251-523-5437

Authorized person

Name PETER STROGOV
Role OWNER
Phone 2515235437

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Agent

Name Role
Christie, Knowles D Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State