| Name: | Manuel Pouparina, MD LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 27 Jan 2011 (14 years ago) |
| Date of dissolution: | 06 Jul 2016 |
| Entity Number: | 000-001-877 |
| Register Number: | 000001877 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 1237 DEBORAH DRIVEHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
Activities
MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780966085 | 2011-09-13 | 2011-10-20 | 1237 DEBORAH DR SE, HUNTSVILLE, AL, 358011414, US | 1237 DEBORAH DR SE, HUNTSVILLE, AL, 358011414, US | |||||||||||||||||
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| Phone | +1 256-337-2297 |
Authorized person
| Name | MANUEL POUPARINA |
| Role | PRESIDENT |
| Phone | 2563372297 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 28396 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POUPARINA, MANUEL | Organizer | 1237 DEBORAH DRIVEHUNTSVILLE, AL 35801 |
| POUARINA, GUADALUPE | Organizer | 1237 DEBORAH DRIVEHUNTSVILLE, AL 35801 |
| Name | Role | Address |
|---|---|---|
| POUPARINA, MANUEL | Agent | 1237 DEBORAH DRIVEHUNTSVILLE, AL 35801 |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State
