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HEALTHFAIR PLUS AL PC

Details

Name: HEALTHFAIR PLUS AL PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 17 Jul 2013 (11 years ago) (Companies founded in July 2013)
Date of dissolution: 27 Oct 2022
Entity Number: 000-280-742
Register Number: 000280742
Historical Names: HEALTHFAIR PLUS PC
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 1890 SEMORAN BLVD., SUITE 319WINTER PARK, FL 32792
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104
Authorized Capital: 100,000 @NPV

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134509474 2015-06-02 2019-12-10 1030 SPRING VILLAS PT STE 3000, WINTER SPRINGS, FL, 327086621, US 2700 CORPORATE DR, STE 200, BIRMINGHAM, AL, 352422732, US

Contacts

Phone +1 407-672-0919

Authorized person

Name VICTORIA ALVAREZ
Role DIRECTOR, CREDENTIALING
Phone 4808621695

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary No
Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary No

Agent

Name Role
CORPORATION SERVICE COMPANY INC. Agent

Director

Name Role Address
PHAM, JUSTIN HUNG Director 1890 SEMORAN BLVD., SUITE 319WINTER PARK, FL 32792

Incorporator

Name Role Address
PHAM, JUSTIN H Incorporator 1890 SEMORAN BLVD., SUITE 319WINTER PARK, FL 32792

Events

Event Date Event Type Old Value New Value
2014-09-17 Name Change HEALTHFAIR PLUS PC HEALTHFAIR PLUS AL PC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State