| Name: | Dauphin Island Medical LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Jan 2024 (10 months ago) (Companies founded in January 2024) |
| Entity Number: | 001-118-329 |
| Register Number: | 001118329 |
| ZIP code: | 35802 (Companies in Madison, 35802) |
| County: | Madison |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 600 Boulevard South SW Suite 104JHuntsville, AL 35802 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306602065 | 2024-02-21 | 2024-02-21 | 1005 MONBERAUT PL, DAUPHIN ISLAND, AL, 365284301, US | 1008 ALABAMA AVE, DAUPHIN ISLAND, AL, 365284340, US | |||||||||||||||||
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| Phone | +1 843-425-4818 |
| Phone | +1 251-313-2115 |
| Fax | 2513132102 |
Authorized person
| Name | MS. TESSIE LEE O'QUINN |
| Role | OWNER/PROVIDER |
| Phone | 8434254818 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| United States Corporation Agents, Inc. | Agent | 101 N Brand Blvd. 11th FloorGlendale, CA 91203 |
| Name | Role | Address |
|---|---|---|
| O'Quinn, Tessie L | Organizer | 1005 Monberaut Pl,Dauphin Island, AL 36528 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
