| Name: | Spanish Fort Internal Medicine, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 20 Jan 2016 (9 years ago) (Companies founded in January 2016) |
| Entity Number: | 000-357-529 |
| Register Number: | 000357529 |
| ZIP code: | 36527 (Companies in Baldwin, 36527) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 30934 WAKEFIELD DRIVESPANISH FORT, AL 36527 |
| Authorized Capital: | 10,000 @ $1/PV |
| Paid Share Capital: | $1.000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356799076 | 2016-06-03 | 2016-06-03 | 7552 SPANISH FORT BLVD, SPANISH FORT, AL, 36527, US | 7552 SPANISH FORT BLVD, SPANISH FORT, AL, 36527, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 251-929-3058 |
Authorized person
| Name | JENNIFER C SYKORA |
| Role | OWNER |
| Phone | 2519293058 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 30706 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SYKORA, JENNIFER | Agent | 30934 WAKEFIELD DRIVESPANISH FORT, AL 36527 |
| Name | Role | Address |
|---|---|---|
| SYKORA, JENNIFER | Director | 30934 WAKEFIELD DRIVESPANISH FORT, AL 36527 |
| Name | Role | Address |
|---|---|---|
| SYKORA, JENNIFER | Incorporator | 30934 WAKEFIELD DRIVESPANISH FORT, AL 36527 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
