Name: | Alabama Neurological Institute, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 27 Jan 2003 (22 years ago) |
Entity Number: | 000-227-291 |
Register Number: | 000227291 |
County: | Jefferson |
Place of Formation: | Shelby County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 513 BROOKWOOD BLVD STE 405BIRMINGHAM, AL 35209 |
Registered Office Street Address ZIP Code: | 35209 |
Authorized Capital: | $1,000 |
Activities
MEDICINE PRACTICE SPECIALIZING IN NEUROLOGY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1437360435 | 2007-05-24 | 2008-01-30 | 513 BROOKWOOD BLVD, SUITE #405, BIRMINGHAM, AL, 352096862, US | 513 BROOKWOOD BLVD, SUITE #405, BIRMINGHAM, AL, 352096862, US | |||||||||||||||||||||||
|
Phone | +1 205-874-8787 |
Fax | 2058026801 |
Authorized person
Name | CAMILO R GOMEZ |
Role | PHYSICIAN |
Phone | 2058748787 |
Taxonomy
Taxonomy Code | 2084N0400X - Neurology Physician |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICARE GROUP |
Number | J321 |
State | AL |
Name | Role | Address |
---|---|---|
STEED, F WADE | Incorporator | 1740 OXMOOR ROAD STE 100HOMEWOOD, AL 35209 |
Name | Role |
---|---|
GOZALEZ, FELIPE | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State