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Laser Eye Surgery Center of Florence, LLC

Details

Name: Laser Eye Surgery Center of Florence, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Jan 2022 (3 years ago)
Entity Number: 000-961-219
Register Number: 000961219
ZIP code: 35801
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 2317 Memorial Parkway SW, Suite 400Huntsville, AL 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053145821 2024-08-26 2024-10-28 2308 MARKET PL SW, HUNTSVILLE, AL, 358015250, US 4819 HUNTSVILLE RD, FLORENCE, AL, 356302936, US

Contacts

Phone +1 256-863-3100

Authorized person

Name JENNIE TATUM NICKEL
Role OR ADMINISTRATOR
Phone 2568633100

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary Yes

Organizer

Name Role Address
Lee, Danny K M.D. Organizer 2317 Memorial Parkway SW, Suite 400Huntsville, AL 35801

Agent

Name Role Address
Lee, Danny K M.D. Agent 2317 Memorial Parkway SW, Suite 400Huntsville, AL 35801

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State