Name: | North Baldwin Family Physicians, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 29 Oct 2010 (14 years ago) |
Date of dissolution: | 04 Feb 2015 |
Entity Number: | 000-265-654 |
Register Number: | 000265654 |
County: | Mobile |
Place of Formation: | Mobile County |
Principal Address: | MOBILE, AL |
Registered Office Street Address: | 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607 |
Registered Office Street Address ZIP Code: | 36607 |
Authorized Capital: | $1,000 |
Activities
PROFESSIONAL MEDICAL SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1902106487 | 2010-10-29 | 2010-10-29 | 2305 HAND AVE, 3, BAY MINETTE, AL, 365074191, US | 2305 HAND AVE, 3, BAY MINETTE, AL, 365074191, US | |||||||||||||||||||
|
Phone | +1 251-937-1528 |
Fax | 2519371529 |
Authorized person
Name | MR. RICHARD BARRE SANDERS |
Role | VICE PRESIDENT |
Phone | 2514351300 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | 30553 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
NIX, D MARK | Agent | 15 KINGSWAYMOBILE, AL 36608 |
Name | Role |
---|---|
INFIRMARY MEDICAL CLINICS PC | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State