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Diabetes & Endocrinology Associates, P.C.

Details

Name: Diabetes & Endocrinology Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 01 Jul 1982 (42 years ago) (Companies founded in July 1982)
Date of dissolution: 13 May 2019
Entity Number: 000-087-837
Register Number: 000087837
Historical Names: J. Rodolfo Vargas, M.D., P.C.
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2022 BROOKWOOD MEDICAL CENTER DR STE 54-ACCBIRMINGHAM, AL 35209
Authorized Capital: $5,000

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821155227 2007-01-03 2020-08-22 2022 BROOKWOOD MEDICAL CTR DR, SUITE 307, BIRMINGHAM, AL, 352096808, US 2022 BROOKWOOD MEDICAL CTR DR, SUITE 307, BIRMINGHAM, AL, 352096808, US

Contacts

Phone +1 205-877-2960
Fax 2058772243

Authorized person

Name DR. JOSE RODOLFO VARGAS
Role PRESIDENT
Phone 2058772960

Taxonomy

Taxonomy Code 207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary Yes

Other Provider Identifiers

Issuer TRAVELERS MEDICARE
Number CL8410
State AL

Agent

Name Role
VARGAS, J RODOLFO Agent

Incorporator

Name Role
VARGAS, J RODOLFO MD Incorporator

Events

Event Date Event Type Old Value New Value
1987-07-28 Name Change J. Rodolfo Vargas, M.D., P.C. Diabetes & Endocrinology Associates, P.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State