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Pure Skin Dermatology & Oncology Inc

Details

Name: Pure Skin Dermatology & Oncology Inc
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 17 Sep 2019 (5 years ago)
Entity Number: 000-587-938
Register Number: 000587938
County: Madison
Place of Formation: Madison County
Principal Address: 4245 BALMORAL DRIVE SUITE 101HUNTSVILLE, AL 35801
Principal Address ZIP Code: 35801
Registered Office Street Address: 25306 DRURY LANETONEY, AL 35773
Registered Office Street Address ZIP Code: 35773
Authorized Capital: 1000@$1.00PV

Activities NEW BUSINESS FORMED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043851249 2019-09-30 2022-11-02 8331 MADISON BLVD STE 400, MADISON, AL, 357582074, US 8331 MADISON BLVD STE 400, MADISON, AL, 357582074, US

Contacts

Phone +1 256-684-7066

Authorized person

Name MS. CHRISTIAN ELIZER
Role OWNER
Phone 2566847066

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary No
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Incorporator

Name Role Address
ELIZER, CHRISTIAN Incorporator 25306 DRURY LANETONEY, AL 35773

Agent

Name Role Address
ELIZER, CHRISTIAN Agent 25306 DRURY LANETONEY, AL 35773

Director

Name Role Address
ELIZER, CHRISTIAN Director 25306 DRURY LANETONEY, AL 35773

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State