| Name: | Davila Pediatrics, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 11 Mar 2004 (21 years ago) |
| Entity Number: | 000-234-122 |
| Register Number: | 000234122 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Registered Office Street Address: | 1107 TRENTON DR SWDECATUR, AL 35603 |
| Registered Office Street Address ZIP Code: | 35603 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
Activities
PEDIATRIC MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013900166 | 2005-08-24 | 2020-08-22 | 1874 BELTLINE RD SW, SUITE 110, DECATUR, AL, 356015514, US | 1874 BELTLINE RD SW, SUITE 110, DECATUR, AL, 356015514, US | |||||||||||||||||||
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| Phone | +1 256-355-8077 |
| Fax | 2563558710 |
Authorized person
| Name | MARIO VIRGILIO DAVILA |
| Role | M.D. |
| Phone | 2563558077 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 17830 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DAVILA, MARIO VIRGILIO | Agent |
| Name | Role |
|---|---|
| DAVILA, MARIO VIRGILIO | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
