| Name: | Dauphin Island Medical Group LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 06 May 2022 (3 years ago) (Companies founded in May 2022) |
| Date of dissolution: | 23 Jan 2024 |
| Entity Number: | 001-018-538 |
| Register Number: | 001018538 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 212 W. Troy St. STE BDothan, AL 36303 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114639770 | 2022-12-14 | 2023-06-20 | 1008 ALABAMA AVE, DAUPHIN ISLAND, AL, 365284340, US | 1008 ALABAMA AVE, DAUPHIN ISLAND, AL, 365284340, US | |||||||||||||
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| Phone | +1 843-424-4818 |
Authorized person
| Name | TESSIE O'QUINN |
| Role | CO OWNER |
| Phone | 2513132115 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Registered Agents Inc | Agent | 212 W. Troy St. STE BDothan, AL 36303 |
| Name | Role | Address |
|---|---|---|
| Park, Riley | Organizer | 212 W. Troy St. STE BDothan, AL 36303 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
