| Name: | Robert W. Smith, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 23 Jun 2005 (19 years ago) |
| Date of dissolution: | 05 Jan 2021 |
| Entity Number: | 000-242-178 |
| Register Number: | 000242178 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1700 5TH AVENUEBIRMINGHAM, AL 35203 |
| Registered Office Street Address ZIP Code: | 35203 |
| Authorized Capital: | $1,000 |
Activities
PEDIATRIC MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609144229 | 2011-12-09 | 2011-12-09 | 1700 5TH AVE N, BIRMINGHAM, AL, 352032023, US | 1700 5TH AVE N, BIRMINGHAM, AL, 352032023, US | |||||||||||||||||||
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| Phone | +1 205-251-0401 |
| Fax | 2052510250 |
Authorized person
| Name | DR. ROBERT WILLIAM SMITH |
| Role | PRESIDENT |
| Phone | 2052510401 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 10568 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMITH, ROBERT W | Agent | 1512 COTTAGE GROVEVESTAVIA, AL 35453 |
| Name | Role | Address |
|---|---|---|
| SMITH, ROBERT W | Incorporator | 1512 COTTAGE GROVEVESTAVIA, AL 35453 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
