| Name: | NAEINI HEALTH SERVICES P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 07 Dec 2017 (7 years ago) |
| Entity Number: | 000-409-712 |
| Register Number: | 000409712 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | 310 CENTER POINT DRIVEFLORENCE, AL 35634 |
| Principal Address ZIP Code: | 35634 |
| Authorized Capital: | 200 @ 0 PV |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477027886 | 2019-01-18 | 2019-01-18 | 310 CENTER POINT LN, FLORENCE, AL, 356342012, US | 2107 CLOYD BLVD, FLORENCE, AL, 356301503, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 773-242-3464 |
| Phone | +1 256-766-5771 |
| Fax | 2567668135 |
Authorized person
| Name | BARDYA MOSTAFAVI NAEINI |
| Role | PROVIDER |
| Phone | 7732423464 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NAEINI, BARDYA M | Agent |
| Name | Role | Address |
|---|---|---|
| NAEINI, BARDYA MOSTAFAVI | Director | 310 CENTER POINT DRIVEFLORENCE, AL 35634 |
| Name | Role | Address |
|---|---|---|
| GOLD, RABIN | Incorporator | 5316 NEW UTRECHT AVEBROOKLYN, NY 11219 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
