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Huntsville Vascular Specialists, PC

Details

Name: Huntsville Vascular Specialists, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 Dec 2001 (23 years ago)
Entity Number: 000-220-142
Register Number: 000220142
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 250 CHATEAU DR STE 120HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $1,000

Activities VASCULAR SURGERY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972671444 2006-12-01 2009-06-03 PO BOX 18844, HUNTSVILLE, AL, 358048844, US 900 BOB WALLACE AVE SW, SUITE 114, HUNTSVILLE, AL, 358015691, US

Contacts

Phone +1 256-883-8222
Fax 2568838230

Authorized person

Name DR. GARY M. GROSS
Role OWNER
Phone 2568838222

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 8969
State AL
Is Primary Yes

Agent

Name Role
GROSS, GARY M Agent

Incorporator

Name Role
GROSS, GARY M Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State