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RAINBOW FAMILY MEDICINE, P.C.

Details

Name: RAINBOW FAMILY MEDICINE, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 09 Dec 2008 (16 years ago)
Date of dissolution: 28 Sep 2017
Entity Number: 000-259-402
Register Number: 000259402
County: Madison
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 1650 SLAUGHTER RD STE AMADISON, AL 35758
Registered Office Street Address ZIP Code: 35758
Authorized Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447498449 2009-01-29 2013-03-06 1650 SLAUGHTER RD, SUITE A, MADISON, AL, 357588610, US 1650 SLAUGHTER RD, SUITE A, MADISON, AL, 357588610, US

Contacts

Phone +1 256-325-3646
Fax 2563253647

Authorized person

Name PETRA TOUTANJI
Role OWNER
Phone 2563253646

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role
TOUTANJI, PETRA Agent

Incorporator

Name Role
TOUTANJI, PETRA Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State