| Name: | Allergy & Family Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 15 Jan 2016 (9 years ago) |
| Date of dissolution: | 14 Jul 2020 |
| Entity Number: | 000-350-771 |
| Register Number: | 000350771 |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Registered Office Street Address: | 525 STONEYBROOK DRIVEJACKSONVILLE, AL 03625 |
| Principal Address: | 1642 SUITE A HIGHWAY 21 SOUTHJACKSONVILLE, AL 36265 |
| Principal Address ZIP Code: | 36265 |
| Authorized Capital: | 1000 @ $.01 PV |
Activities
ALLERGY/FAMILY MEDICINE SERVICES THROUGH LICENSED PROFESSIONALS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457711863 | 2016-02-26 | 2016-02-26 | 1642 PELHAM RD S, SUITE A, JACKSONVILLE, AL, 362653312, US | 1642 PELHAM RD S, SUITE A, JACKSONVILLE, AL, 362653312, US | |||||||||||||||||||
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| Phone | +1 256-365-2233 |
| Fax | 2563652187 |
Authorized person
| Name | DR. KEWAL K VERMA |
| Role | OWNER |
| Phone | 2563652233 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 7306 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VERMA, KEWAL K | Agent | 525 STONEYBROOK DRIVEJACKSONVILLE, AL 36256 |
| Name | Role | Address |
|---|---|---|
| VERMA, KEWAL K | Director | 525 STONEYBROOK DRIVEJACKSONVILLE, AL 36256 |
| Name | Role | Address |
|---|---|---|
| VERMA, KEWAL K | Incorporator | 525 STONEYBROOK DRIVEJACKSONVILLE, AL 36256 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
