| Name: | Advanced Urology Medical Practice of Montgomery, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Feb 2023 (2 years ago) (Companies founded in February 2023) |
| Entity Number: | 001-063-332 |
| Register Number: | 001063332 |
| ZIP code: | 36106 (Companies in Montgomery, 36106) |
| County: | Montgomery |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 4216 CARMICHAEL ROADMONTGOMERY, AL 36106 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881476844 | 2023-10-16 | 2023-10-17 | 4216 CARMICHAEL RD, MONTGOMERY, AL, 361062804, US | 4216 CARMICHAEL RD, MONTGOMERY, AL, 361062804, US | |||||||||||||
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| Phone | +1 334-612-7890 |
Authorized person
| Name | MICHAEL RITZUS |
| Role | PRACTICE MANAGER |
| Phone | 3345492712 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | Yes |
| Name | Role |
|---|---|
| RICHARDSON, BRIAN | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
