| Name: | Gulf Shores Medical Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 19 Oct 2000 (24 years ago) |
| Date of dissolution: | 15 Dec 2022 |
| Entity Number: | 000-212-746 |
| Register Number: | 000212746 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | GULF SHORES, AL |
| Registered Office Street Address: | 200 OFFICE PARK DRGULF SHORES, AL 36542 |
| Registered Office Street Address ZIP Code: | 36542 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497802177 | 2007-01-04 | 2007-12-12 | PO BOX 1859, GULF SHORES, AL, 365471859, US | 200 OFFICE PARK DRIVE, GULF SHORES, AL, 36542, US | |||||||||||||||||||
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| Phone | +1 251-968-7379 |
| Fax | 2519685960 |
Authorized person
| Name | MR. THOMAS J DAVIDSON III |
| Role | OWNER |
| Phone | 2519687379 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 10519 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DAVIDSON, THOMAS J III | Agent |
| Name | Role |
|---|---|
| DAVIDSON, THOMAS J III | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
