Name: | Hoover Family Medicine, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 21 Mar 1991 (34 years ago) |
Date of dissolution: | 31 Mar 2010 |
Entity Number: | 000-142-142 |
Register Number: | 000142142 |
County: | Jefferson |
Place of Formation: | Jefferson County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 9772 PKWY EASTBIRMINGHAM, AL 35215 |
Registered Office Street Address ZIP Code: | 35215 |
Authorized Capital: | $2,000 |
Activities
PRACTICE MEDICINE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841475233 | 2008-01-03 | 2008-01-03 | 1575 MONTGOMERY HWY, HOOVER, AL, 352164510, US | 1575 MONTGOMERY HWY, HOOVER, AL, 352164510, US | |||||||||||||||||||
|
Phone | +1 205-979-3381 |
Fax | 2059793726 |
Authorized person
Name | REGINA ROSE HUDSON DE CORONA |
Role | IN-HOUSE COUNSEL |
Phone | 2059793381 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
License Number | 8072 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
BLAKE, JAMES D MD | Agent |
Name | Role |
---|---|
BLAKE, JAMES D MD | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State