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Castellanos Voice, Airway & Swallowing Center, P.C.

Details

Name: Castellanos Voice, Airway & Swallowing Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 26 Feb 2018 (7 years ago)
Date of dissolution: 07 Feb 2019
Entity Number: 000-510-895
Register Number: 000510895
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2028 MAGNOLIA RIDGEVESTAVIA HILLS, AL 35243
Registered Office Street Address ZIP Code: 35243
Authorized Capital: 100 @ $10/PV

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699277798 2018-03-05 2018-03-05 2028 MAGNOLIA RDG, VESTAVIA, AL, 352432018, US 285 CHATEAU DR SW, HUNTSVILLE, AL, 358016401, US

Contacts

Phone +1 205-907-5921
Phone +1 256-882-0165
Fax 2569343993

Authorized person

Name DR. KATHLEEN INGRAHAM CASTELLANOS
Role SECRETARY/TREASURER
Phone 2059075921

Taxonomy

Taxonomy Code 207Y00000X - Otolaryngology Physician
License Number 26739
State AL
Is Primary Yes

Agent

Name Role Address
CASTELLANOS, PAUL F Agent 2028 MAGNOLIA RIDGEVESTAVIA HILLS, AL 35243

Director

Name Role Address
CASTELLANOS, PAUL F Director 2028 MAGNOLIA RIDGEVESTAVIA HILLS, AL 35243

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State