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Raymond N. Fernandez, M.D., P.C.

Details

Name: Raymond N. Fernandez, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 29 Apr 2003 (22 years ago) (Companies founded in April 2003)
Entity Number: 000-228-795
Register Number: 000228795
ZIP code: 35904 (Companies in Etowah, 35904)
County: Etowah
Place of Formation: Etowah County
Principal Address: GADSDEN, AL
Registered Office Street Address: 105 DUNCAN CTGADSDEN, AL 35904
Authorized Capital: $5,000

Activities PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376680744 2007-02-01 2007-10-15 4198 US HIGHWAY 431 STE A, ALBERTVILLE, AL, 359500242, US 4198 US HIGHWAY 431 STE A, ALBERTVILLE, AL, 359500242, US

Contacts

Phone +1 256-891-8580
Fax 2568918581

Authorized person

Name DR. RAYMOND N FERNANDEZ
Role PRESIDENT
Phone 2568918580

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number MD.22283
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS OF AL PROVIDER NUMBE
Number 51515286
State AL

Agent

Name Role
FERNANDEZ, RAYMOND N Agent

Incorporator

Name Role
FERNANDEZ, RAYMOND N Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State