| Name: | AB Physiatry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Series Ltd. Liability Company |
| Status: | Exists |
| Date of registration: | 09 May 2017 (8 years ago) |
| Entity Number: | 000-390-971 |
| Register Number: | 000390971 |
| Historical Names: |
Andrew F. Barranco, MD, LLC
|
| ZIP code: | 36109 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 3815 INTERSTATE COURTMONTGOMERY, AL 36109 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033647045 | 2017-06-03 | 2023-08-15 | 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US | 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US | |||||||||||||
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| Phone | +1 205-514-1122 |
Authorized person
| Name | ANDREW BARRANCO |
| Role | PHYSICIAN |
| Phone | 2055141122 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BARRANCO, STEVE | Agent |
| Name | Role | Address |
|---|---|---|
| JOHNSON, D KYLE | Organizer | 150 S PERRY STMONTGOMERY, AL 36104 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2017-05-16 | Name Change | Andrew F. Barranco, MD, LLC | AB Physiatry, LLC |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7559408104 | 2020-07-23 | 0459 | PPP | 3800 RIDGEWAY DR, BIRMINGHAM, AL, 35209-5506 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
