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Florence Eye Surgery Center, LLC

Details

Name: Florence Eye Surgery Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Jul 2021 (4 years ago)
Entity Number: 000-870-749
Register Number: 000870749
ZIP code: 35630
County: Lauderdale
Place of Formation: Alabama
Registered Office Street Address: 2415 HELTON DRIVE, SUITE BFLORENCE, AL 35630
Registered Office Mailing Address: 3501 MEMORIAL PARKWAY SW, SUITE 200HUNTSVILLE, AL 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841017530 2024-09-24 2024-09-24 3501 MEMORIAL PKWY SW STE 200, HUNTSVILLE, AL, 358016901, US 2415 HELTON DR STE B, FLORENCE, AL, 356301023, US

Contacts

Phone +1 256-428-3240

Authorized person

Name CORRINE GREGORY
Role CEO
Phone 2564283240

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

Agent

Name Role
WILLIAM MITCHELL Agent

Organizer

Name Role Address
Hunt, David Organizer 3595 Grandview Parkway, Suite 400Birmingham, AL 35243

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State