| Name: | Juan A. Fernandez, MD Advanced Urology, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 21 Nov 2006 (18 years ago) (Companies founded in November 2006) |
| Date of dissolution: | 27 Sep 2017 |
| Entity Number: | 000-249-979 |
| Register Number: | 000249979 |
| ZIP code: | 36360 (Companies in Dale, 36360) |
| County: | Dale |
| Place of Formation: | Dale County |
| Principal Address: | OZARK, AL |
| Registered Office Street Address: | 2126 W ROY PARKER RD STE 202OZARK, AL 36360 |
| Authorized Capital: | 1 |
Activities
UROLOGY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114063997 | 2007-01-29 | 2020-08-22 | 2126 W ROY PARKER RD, SUITE 202, OZARK, AL, 363608566, US | 2126 W ROY PARKER RD, SUITE 202, OZARK, AL, 363608566, US | |||||||||||||||||||
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| Phone | +1 334-774-1200 |
| Fax | 3347741204 |
Authorized person
| Name | DR. JUAN ALBERTO FERNANDEZ |
| Role | PHYSICIAN |
| Phone | 3347741200 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| License Number | 27725 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BALOSHIAN, TAMAR | Incorporator |
| Name | Role |
|---|---|
| FERNANDEZ, JUAN A | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
