| Name: | Alabama Foot Care Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 05 Sep 1997 (27 years ago) |
| Entity Number: | 000-189-868 |
| Register Number: | 000189868 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | OPELIKA, AL |
| Registered Office Street Address: | 2304-B GATEWAY DROPELIKA, AL 36801 |
| Registered Office Street Address ZIP Code: | 36801 |
| Authorized Capital: | 1 |
Activities
PODIATRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750442521 | 2006-12-13 | 2011-12-13 | 2304 GATEWAY DR STE B, OPELIKA, AL, 368017273, US | 2304 GATEWAY DR STE B, OPELIKA, AL, 368017273, US | |||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 334-741-7600 |
| Fax | 8472417600 |
Authorized person
| Name | PAUL J CIAVARELLI JR. |
| Role | OWNER |
| Phone | 3347417600 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | 179 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 51536300 |
| State | AL |
| Issuer | BCBS |
| Number | 51536299 |
| State | AL |
| Issuer | BCBS |
| Number | 51536298 |
| State | AL |
| Issuer | BCBS |
| Number | 51038839 |
| State | AL |
| Name | Role |
|---|---|
| CIAVARELLI, PAUL J JR | Agent |
| Name | Role |
|---|---|
| CIAVARELLI, PAUL J JR | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
