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National Family Medical Associates of Alabama, LLC

Details

Name: National Family Medical Associates of Alabama, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 02 Oct 2023 (a year ago)
Entity Number: 001-103-262
Register Number: 001103262
County: Montgomery
Place of Formation: Delaware
Registered Office Street Address: 2 N. Jackson St., Ste. 605Montgomery, AL 36104
Registered Office Street Address ZIP Code: 36104
Principal Address: 601 S HARBOUR ISLAND BLVD. SUITE 200TAMPA, FL 33602

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588446512 2023-10-16 2024-03-14 601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL, 336025925, US 22394 MIFLIN RD STE 104, FOLEY, AL, 365359593, US

Contacts

Phone +1 813-444-5838
Fax 8334957206
Phone +1 251-444-1999
Fax 2514441998

Authorized person

Name MR. SRIRAM SUNDARAMOORTHY
Role CHIEF COMPLIANCE OFFICER
Phone 8134445838

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role
C T Corporation System Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State