| Name: | Orange Beach Family Medicine, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 16 Jun 2022 (2 years ago) (Companies founded in June 2022) |
| Entity Number: | 001-025-483 |
| Register Number: | 001025483 |
| ZIP code: | 36561 (Companies in Baldwin, 36561) |
| County: | Baldwin |
| Place of Formation: | Alabama |
| Principal Address: | 27121 CANAL ROADOrange Beach, AL 36561 |
| Registered Office Street Address: | 4851 Wharf Parkway, Ste. D-230Orange Beach, AL 36561 |
| Authorized Capital: | 1000 |
Activities
Provide medical services
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346974060 | 2022-07-11 | 2022-07-11 | 3280 DAUPHIN ST BLDG A, MOBILE, AL, 366064060, US | 27121 CANAL RD, ORANGE BEACH, AL, 365613982, US | |||||||||||||
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| Phone | +1 731-415-2020 |
Authorized person
| Name | RYAN FORBESS |
| Role | PHYSICIAN |
| Phone | 7314152020 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Yates Anderson LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Forbess, Ryan | Incorporator | 26272 Saint Lucia DriveOrange Beach, AL 36561 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
