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Richard R. Cunningham, D.O., P.A. Inc.

Details

Name: Richard R. Cunningham, D.O., P.A. Inc.
Jurisdiction: Alabama
Legal type: Foreign Corporation
Status: Withdrawn
Date of registration: 13 Sep 1999 (25 years ago) (Companies founded in September 1999)
Entity Number: 000-932-876
Register Number: 000932876
ZIP code: 36564 (Companies in Baldwin, 36564)
County: Baldwin
Place of Formation: Florida
Principal Address: 420 10TH PLACE SWVERO BEACH, FL 32962
Registered Office Street Address: 91 SIXPENCE RDKILLEN, AL 36564

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093753600 2006-06-04 2009-11-17 91 SIX PENCE RD, KILLEN, AL, 356455438, US 91 SIX PENCE RD, KILLEN, AL, 356455438, US

Contacts

Phone +1 256-272-8334
Fax 2562728334

Authorized person

Name RICHARD RAY CUNNINGHAM
Role PRESIDENT
Phone 2562728334

Taxonomy

Taxonomy Code 207QG0300X - Geriatric Medicine (Family Medicine) Physician
License Number DO929
State AL
Is Primary Yes

Agent

Name Role Address
CUNNINGHAM, RICHARD Agent 977 BROWNS CREEK RDGUNTERSIVILLE, AL 35976

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State