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Mracek Family & Internal Medicine Clinic, P.C.

Details

Name: Mracek Family & Internal Medicine Clinic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 20 Sep 2018 (6 years ago) (Companies founded in September 2018)
Entity Number: 000-530-374
Register Number: 000530374
ZIP code: 36092 (Companies in Elmore, 36092)
County: Elmore
Place of Formation: Elmore County
Principal Address: 807 JACKSON TRACEWETUMPKA, AL 36092
Authorized Capital: 100 @ $1/PV
Paid Share Capital: $100

Activities RENDER MEDICAL/OTHER HEALTH RELATED SERVICES;ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265908347 2018-10-16 2018-10-16 807 JACKSON TRACE RD, WETUMPKA, AL, 360921504, US 807 JACKSON TRACE RD, WETUMPKA, AL, 360921504, US

Contacts

Phone +1 334-567-3150
Fax 3345673152

Authorized person

Name DR. JAMES F MRACEK II
Role OWNER
Phone 3345673150

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
MRACEK, JAMES F II Agent 400 INDIAN HILLS DRIVEWETUMPKA, AL 36092

Director

Name Role Address
MRACEK, JAMES FRANK II Director 400 INDIAN HILL DRIVEWETUMPKA, AL 36092

Incorporator

Name Role Address
MRACEK, JAMES F II Incorporator 400 INDIAN HILLS DRIVEWETUMPKA, AL 36092

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State