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KERNIGHAN SURGERY CLINIC, LLC AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION Patients Name: Birthdate: Last 4 of SSN: Address: I authorize Kernighan Surgery Clinic, LLC or the following person
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What is jernigan surgery clinic pllc?
Jernigan Surgery Clinic PLLC is a private limited liability company that specializes in providing surgical services.
Who is required to file jernigan surgery clinic pllc?
The owner or authorized representative of Jernigan Surgery Clinic PLLC is required to file the necessary paperwork.
How to fill out jernigan surgery clinic pllc?
To fill out Jernigan Surgery Clinic PLLC paperwork, one must provide information about the company's ownership, operations, and financial status.
What is the purpose of jernigan surgery clinic pllc?
The purpose of Jernigan Surgery Clinic PLLC is to provide high-quality surgical services to patients in need.
What information must be reported on jernigan surgery clinic pllc?
Information such as financial statements, ownership details, and operational data must be reported on Jernigan Surgery Clinic PLLC.
When is the deadline to file jernigan surgery clinic pllc in 2024?
The deadline to file Jernigan Surgery Clinic PLLC in 2024 is typically by the end of the fiscal year, on December 31st.
What is the penalty for the late filing of jernigan surgery clinic pllc?
The penalty for late filing of Jernigan Surgery Clinic PLLC may result in fines or additional scrutiny from regulatory authorities.
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