| 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 | |||||||||||||||||||||||
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| 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
