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Baldwin Vein and Vascular Center, LLC

Details

Name: Baldwin Vein and Vascular Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Aug 2024 (3 months ago) (Companies founded in August 2024)
Entity Number: 001-148-681
Register Number: 001148681
Historical Names: Baldwin Vein and Vascular Specialists, LLC
ZIP code: 36527 (Companies in Baldwin, 36527)
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 32696 Whimbret WaySpanish Fort, AL 36527
Registered Office Mailing Address: P.O. Box 369Fairhope, AL 36533

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205667045 2024-08-13 2024-08-13 PO BOX 369, FAIRHOPE, AL, 365330369, US 23937 US HIGHWAY 98 STE 1, FAIRHOPE, AL, 365323354, US

Contacts

Phone +1 251-651-2110

Authorized person

Name DR. BENJAMIN JAMES MAKAMSON
Role OWNER
Phone 2516512110

Taxonomy

Taxonomy Code 2086S0129X - Vascular Surgery Physician
Is Primary Yes

Agent

Name Role
Makamson, Benjamin J Agent

Events

Event Date Event Type Old Value New Value
2024-08-12 Name Change Baldwin Vein and Vascular Specialists, LLC Baldwin Vein and Vascular Center, LLC

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State