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Alabama Family Foot Clinic, P.C

Details

Name: Alabama Family Foot Clinic, P.C
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 26 Jan 2000 (25 years ago) (Companies founded in January 2000)
Entity Number: 000-207-614
Register Number: 000207614
ZIP code: 35906 (Companies in Etowah, 35906)
County: Etowah
Place of Formation: Etowah County
Principal Address: RAINBOW CITY, AL
Registered Office Street Address: 107 CHURCH STRAINBOW CITY, AL 35906
Authorized Capital: $100
Paid Share Capital: $100

Activities PODIATRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447365721 2006-08-20 2008-04-14 PO BOX 7031, RAINBOW CITY, AL, 35906, US 107 CHURCH STREET, RAINBOW CITY, AL, 35906, US

Contacts

Phone +1 256-413-0093
Fax 2564130096

Authorized person

Name DR. JOHN PATRICK PADULA
Role DOCTOR PRESIDENT
Phone 2564130093

Taxonomy

Taxonomy Code 213E00000X - Podiatrist
Is Primary Yes

Other Provider Identifiers

Issuer BCBS
Number 51054952
State AL

Agent

Name Role
PADULA, JOHN P Agent

Incorporator

Name Role
PADULA, JOHN P Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State