| Name: | Mendiola, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 02 Jan 2002 (23 years ago) (Companies founded in January 2002) |
| Entity Number: | 000-220-333 |
| Register Number: | 000220333 |
| ZIP code: | 35967 (Companies in De Kalb, 35967) |
| County: | De Kalb |
| Place of Formation: | DeKalb County |
| Registered Office Street Address: | 1003 FAIRWAY RDFORT PAYNE, AL 35967 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
PROFESSIONAL MEDICAL SERVICES/INTERNAL MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265681167 | 2008-09-16 | 2008-09-16 | 2202 JORDAN RD SW, SUITE 101, FORT PAYNE, AL, 35968, US | 1003 FAIRWAY RD NW, FORT PAYNE, AL, 359678226, US | |||||||||||||||||||||
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| Phone | +1 256-997-2820 |
| Fax | 2569972890 |
| Phone | +1 256-996-3239 |
Authorized person
| Name | CARMELO C MENDIOLA |
| Role | OWNER |
| Phone | 2569972820 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 17265 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENDIOLA, CARMELO | Agent | 2202 JORDAN DRIVEFT PAYNE, AL 35968 |
| Name | Role | Address |
|---|---|---|
| MENDIOLA, CARMELO | Director | 2202 JORDAN DRIVEFT PAYNE, AL 35968 |
| Name | Role | Address |
|---|---|---|
| MENDIOLA, CARMELO | Incorporator | 2202 JORDAN DRIVEFT PAYNE, AL 35968 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
