| Name: | Auburn Cardiovascular, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 02 Feb 1998 (27 years ago) |
| Date of dissolution: | 26 Dec 2018 |
| Entity Number: | 000-193-085 |
| Register Number: | 000193085 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | AUBURN, AL |
| Registered Office Street Address: | 935 OGLETREE ROADAUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| Authorized Capital: | $5,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306882303 | 2006-06-20 | 2020-08-22 | 994 DREW LN, P O BOX 1033, AUBURN, AL, 368304302, US | 994 DREW LN, AUBURN, AL, 368304302, US | |||||||||||||||
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| Phone | +1 334-821-1219 |
| Fax | 3348210838 |
Authorized person
| Name | MRS. JANET W WHATLEY |
| Role | ADMINISTRATOR |
| Phone | 3348211219 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUBURN CARDIOVASCULAR, P.C. CROSS-TESTED PROFIT SHARING PLAN | 2009 | 631192863 | 2010-07-23 | AUBURN CARDIOVASCULAR, P.C. | 27 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 631192863 |
| Plan administrator’s name | AUBURN CARDIOVASCULAR, P.C. |
| Plan administrator’s address | 994 DREW LN, AUBURN, AL, 36830 |
| Administrator’s telephone number | 3348211219 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-23 |
| Name of individual signing | MICHAEL B. WILLIAMS, MD |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-04-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3348211219 |
| Plan sponsor’s address | 994 DREW LN, AUBURN, AL, 36830 |
Plan administrator’s name and address
| Administrator’s EIN | 631192863 |
| Plan administrator’s name | AUBURN CARDIOVASCULAR, P.C. |
| Plan administrator’s address | 994 DREW LN, AUBURN, AL, 36830 |
| Administrator’s telephone number | 3348211219 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-23 |
| Name of individual signing | MICHAEL B. WILLIAMS, MD |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, MICHAEL B | Agent | 8901 MOFFETT RDSEMMES, AL 36575 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, MICHAEL B | Incorporator | 8901 MOFFETT RDSEMMES, AL 36575 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
