| Name: | Bridgeport Pain Clinic Corp. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 31 Jan 2008 (17 years ago) |
| Date of dissolution: | 11 May 2009 |
| Entity Number: | 000-255-970 |
| Register Number: | 000255970 |
| Place of Formation: | Jackson County |
| Principal Address: | SCOTTSBORO, AL |
| Registered Office Street Address: | 411 CHILDRESS DRSCOTTSBORO, AL 35769-6432 |
| Authorized Capital: | $20 |
Activities
MEDICAL OFFICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033372867 | 2008-07-02 | 2008-07-02 | 47053 AL HIGHWAY 277, SUITE B, BRIDGEPORT, AL, 357407205, US | 47053 AL HIGHWAY 277, SUITE B, BRIDGEPORT, AL, 357407205, US | |||||||||||||||||||
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| Phone | +1 256-437-8188 |
| Fax | 2564378189 |
Authorized person
| Name | DR. MANUEL POUPARINAS |
| Role | OWNER |
| Phone | 2564378188 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 28396 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POUPARINA, MANUEL | Agent | 1237 DEBORAH DRIVEHUNTSVILLE, AL 35801 |
| 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
