| Name: | Princeton Surgical Specialists, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 02 Mar 2006 (19 years ago) |
| Entity Number: | 000-246-093 |
| Register Number: | 000246093 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 4912 BRANDYWOOD DRIVEBIRMINGHAM, AL 35223 |
| Registered Office Street Address ZIP Code: | 35223 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
Activities
PROVIDE MEDICAL TREATMENT/CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134178387 | 2006-05-07 | 2009-11-25 | 833 PRINCETON AVE SW, STE 200F, BIRMINGHAM, AL, 35211, US | 833 PRINCETON AVE SW, STE 200F, BIRMINGHAM, AL, 35211, US | |||||||||||||||||||
|
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| Phone | +1 205-776-8600 |
| Fax | 2057768603 |
Authorized person
| Name | STANLEY CASDEN HEWLETT |
| Role | PROVIDER |
| Phone | 2057768600 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 00016867 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HEWLETT, STANLEY C | Agent |
| Name | Role |
|---|---|
| HEWLETT, STANLEY C | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
