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Hoover Family Medicine, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
BLAKE, JAMES D MD Agent

Incorporator

Name Role
BLAKE, JAMES D MD Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State