| Name: | Edith A. Aguayo, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 20 Sep 2004 (20 years ago) (Companies founded in September 2004) |
| Entity Number: | 000-237-419 |
| Register Number: | 000237419 |
| ZIP code: | 35802 (Companies in Madison, 35802) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 701 COLE DRHUNTSVILLE, AL 35802 |
| Authorized Capital: | $10 |
Activities
MEDICAL SERVICES IN THE SPECIALTIES OF OBSTETRICS/GYNECOLOGY/ETC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477659852 | 2006-09-15 | 2022-01-20 | 4810 WHITESPORT CIR SW, SUITE 202, HUNTSVILLE, AL, 358017419, US | 4810 WHITESPORT CIR SW, SUITE 202, HUNTSVILLE, AL, 358017419, US | |||||||||||||||||||||
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| Phone | +1 256-882-1785 |
| Fax | 2568821770 |
Authorized person
| Name | EDITH AGUAYO |
| Role | OWNER |
| Phone | 2568821785 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | GR#529921870 |
| State | AL |
| Name | Role |
|---|---|
| AGUAYO, EDITH A | Agent |
| Name | Role |
|---|---|
| AGUAYO, EDITH A | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
