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Vaxxim, Inc.

Details

Name: Vaxxim, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 10 Nov 2005 (19 years ago)
Date of dissolution: 04 Oct 2017
Entity Number: 000-244-267
Register Number: 000244267
County: Lee
Place of Formation: Lee County
Registered Office Street Address: 610 RUSTIC STREETOPELIKA, AL 36801
Registered Office Street Address ZIP Code: 36801
Principal Address: OPELIKA, AL
Authorized Capital: $20

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285841577 2007-05-17 2020-08-22 610 RUSTIC ST, OPELIKA, AL, 368013434, US 610 RUSTIC ST, OPELIKA, AL, 368013434, US

Contacts

Phone +1 334-319-3279

Authorized person

Name GARY A WOOD
Role MANAGER
Phone 3343193279

Taxonomy

Taxonomy Code 261QC1500X - Community Health Clinic/Center
License Number 1-066975
State AL
Is Primary Yes

Agent

Name Role
WOOD, ANN Agent

Incorporator

Name Role Address
WALSH, KERRY Incorporator 173 N MAIN STREET STE 400SAYVILLE, NY 11782

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State