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REY GAVINO MD, PC

Details

Name: REY GAVINO MD, PC
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 22 Nov 2019 (5 years ago) (Companies founded in November 2019)
Entity Number: 000-594-454
Register Number: 000594454
ZIP code: 36265 (Companies in Calhoun, 36265)
County: Calhoun
Place of Formation: Calhoun County
Principal Address: 2270 PELHAM RD SJACKSONVILLE, AL 36265
Authorized Capital: 100@ $O.O1 PV

Activities MEDICAL DOCTOR

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255959086 2020-07-08 2023-07-26 1455 HERITAGE LN NE, JACKSONVILLE, AL, 362651448, US 801 GOODYEAR AVE, GADSDEN, AL, 359031133, US

Contacts

Phone +1 256-452-2718

Authorized person

Name DR. REY GAVINO
Role PRESIDENT
Phone 2564522718

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
GAVINO, REY Agent 2270 PELHAM RD SJACKSONVILLE, AL 36265

Director

Name Role Address
GAVINO, REY Director 2270 PELHAM RD SJACKSONVILLE, AL 36265

Incorporator

Name Role Address
LEGALZOOM.COM INC Incorporator 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State