| Name: | Dermatology Partners of Alabama, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 21 Oct 1998 (26 years ago) |
| Entity Number: | 000-912-551 |
| Register Number: | 000912551 |
| County: | Mobile |
| Place of Formation: | Delaware |
| Principal Address: | 3507 FRONTAGE RD STE 180TAMPA, FL 36607 |
| Principal Address ZIP Code: | 36607 |
| Registered Office Street Address: | 150 S PERRY STMONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730228628 | 2007-02-06 | 2023-11-27 | 972 MONTCLAIR RD, BIRMINGHAM, AL, 352131204, US | 972 MONTCLAIR RD, BIRMINGHAM, AL, 352131204, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 205-592-4880 |
| Fax | 2055923999 |
Authorized person
| Name | DR. BARRY C GINSBURG |
| Role | PHYSICIAN/CEO |
| Phone | 2055924880 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 7430 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Name | Role |
|---|---|
| CAPITOL CORPORATE SERVICES INC | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
