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Elite Orthopedics & Spine, LLC

Details

Name: Elite Orthopedics & Spine, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Sep 2022 (2 years ago) (Companies founded in September 2022)
Entity Number: 001-038-539
Register Number: 001038539
ZIP code: 35205 (Companies in Jefferson, 35205)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 2660 10th Avenue South, Bldg. 1, Suite 107Birmingham, AL 35205

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477276657 2022-09-22 2022-11-02 2660 10TH AVE S STE 107, BIRMINGHAM, AL, 352051622, US 2660 10TH AVE S STE 107, BIRMINGHAM, AL, 352051622, US

Contacts

Phone +1 888-315-2615

Authorized person

Name MRS. CHERYL PINNEO
Role CREDENTIALING
Phone 2055178167

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes

Agent

Name Role Address
Smith, Jeffrey T M.D. Agent 2660 10th Avenue South, Bldg. 1, Suite 300Birmingham, AL 35205

Organizer

Name Role Address
Smith, Jeffrey T M.D. Organizer 2660 10th Avenue South, Bldg. 1, Suite 300Birmingham, AL 35205

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State