| Entity Name: | ALLIANCE TELEHEALTH NETWORK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Apr 2024 (10 months ago) |
| Document Number: | M24000004246 |
| Address: | 40 W. NINE MILE RD., STE. 2 PMB 195, PENSACOLA, FL 32534 |
| Mail Address: | 40 W. NINE MILE RD., STE. 2 PMB 195, PENSACOLA, FL 32534 |
| ZIP code: | 32534 |
| County: | Escambia |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477309789 | 2024-04-26 | 2024-04-30 | 40 W NINE MILE RD STE 2, PENSACOLA, FL, 325341267, US | 3001 E JACKSON ST STE A, PENSACOLA, FL, 325036436, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 931-787-2940 |
Authorized person
| Name | DEBRA BARRETT GRAHAM |
| Role | PRESIDENT |
| Phone | 9317872940 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| GRAHAM, DEBRA | Authorized Person | 40 W. NINE MILE RD., STE. 2 PMB 195, PENSACOLA, FL 32534 |
| Name | Date |
|---|---|
| Foreign Limited | 2024-04-02 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
