| Name: | Cardiology Associates of Ozark, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 15 Jan 1997 (28 years ago) (Companies founded in January 1997) |
| Entity Number: | 000-184-864 |
| Register Number: | 000184864 |
| ZIP code: | 36360 (Companies in Dale, 36360) |
| County: | Dale |
| Place of Formation: | Houston County |
| Principal Address: | OZARK, AL |
| Registered Office Street Address: | 109 KATHERINE AVEOZARK, AL 36360 |
| Authorized Capital: | $1,200 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396721726 | 2005-12-18 | 2022-07-21 | 2015 ALEXANDER DR, DOTHAN, AL, 363013003, US | 179 KATHERINE AVE, OZARK, AL, 363601976, US | |||||||||||||||||||||||
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| Phone | +1 334-671-1696 |
| Fax | 3347940721 |
Authorized person
| Name | RONALD D ALFANO |
| Role | PRESIDENT |
| Phone | 3346711696 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529701830 |
| State | AL |
| Name | Role |
|---|---|
| ALFANO, RONALD D | Agent |
| Name | Role | Address |
|---|---|---|
| MCNAB, F MITCH | Incorporator | 200 PARKWEST CIRCLE SUITE 2DOTHAN, AL 36303 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
