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Central Alabama Vein & Aesthetics PLLC

Details

Name: Central Alabama Vein & Aesthetics PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 29 Sep 2022 (2 years ago)
Entity Number: 001-042-328
Register Number: 001042328
Historical Names: Central Alabama Vein & Aesthetics LLC
ZIP code: 36303
County: Houston
Place of Formation: Alabama
Registered Office Street Address: 212 W. Troy St. STE BDothan, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780399832 2023-01-23 2023-04-05 2100 SOUTHBRIDGE PKWY STE 650, BIRMINGHAM, AL, 352091317, US 1450 JONES DAIRY RD STE 400, JASPER, AL, 355016109, US

Contacts

Phone +1 205-737-0307

Authorized person

Name DR. MICHAEL SOLOMON
Role DIRECTOR
Phone 2057370307

Taxonomy

Taxonomy Code 202K00000X - Phlebology Physician
Is Primary Yes
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207QA0401X - Addiction Medicine (Family Medicine) Physician
Is Primary No

Agent

Name Role Address
Registered Agents Inc Agent 212 W. Troy St. STE BDothan, AL 36303

Organizer

Name Role Address
Noble, Morgan Organizer 212 W. Troy St. STE BDothan, AL 36303

Events

Event Date Event Type Old Value New Value
2022-10-25 Name Change Central Alabama Vein & Aesthetics LLC Central Alabama Vein & Aesthetics PLLC

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State