| Name: | Maniscalco Oral and Facial Surgery LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Jun 2022 (2 years ago) |
| Entity Number: | 001-025-830 |
| Register Number: | 001025830 |
| County: | Shelby |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2901 Central AvenueHomewood, AL 35209 |
| Registered Office Street Address ZIP Code: | 35209 |
| Principal Address: | 101 Heatherbrooke Park DrBirmingham, AL 35242 |
| Principal Address ZIP Code: | 35242 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376271056 | 2022-08-10 | 2022-08-10 | 101 HEATHERBROOKE PARK DR, BIRMINGHAM, AL, 352428008, US | 101 HEATHERBROOKE PARK DR, BIRMINGHAM, AL, 352428008, US | |||||||||||||
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| Phone | +1 205-991-9787 |
Authorized person
| Name | LEE MICHAEL MANISCALCO |
| Role | OWNER |
| Phone | 2055273091 |
Taxonomy
| Taxonomy Code | 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Maniscalco, Lee M | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
