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Keystone Medical Services of Gulfport, Inc.

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Company Details

Name: Keystone Medical Services of Gulfport, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 04 Aug 2015 (10 years ago)
Business ID: 1072710
State of Incorporation: MISSISSIPPI
Principal Office Address: 10312 Bloomingdale Ave, Suite 108 - #379Riverview, FL 3

Agent

Name Role Address
REGISTERED AGENT SOLUTIONS, INC Agent 8927 Lorraine Rd., Ste. 204-A, Gulfport, MS 39503

Incorporator

Name Role Address
Andrew V. Garner Incorporator 201 South Spring Street, Seventh Floor, Tupelo, MS 38804

Director

Name Role Address
Glenn Adams Director 10312 Bloomingdale Ave, Suite 108 - #379, Riverview, FL 33578
Andrew Portelli Director 10312 Bloomingdale Ave, Suite 108 - #379, Riverview, FL 33578
Ronald Dvorkin Director 71 Primrose Lane, Kings Park, NY 11754

President

Name Role Address
Glenn Adams President 10312 Bloomingdale Ave, Suite 108 - #379, Riverview, FL 33578

National Provider Identifier

NPI Number:
1881070183
Certification Date:
2021-01-22

Authorized Person:

Name:
MR. GLENN C ADAMS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9017956060

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-09 Annual Report For Keystone Medical Services of Gulfport, Inc.
Annual Report Filed 2024-03-13 Annual Report For Keystone Medical Services of Gulfport, Inc.
Annual Report Filed 2023-03-07 Annual Report For Keystone Medical Services of Gulfport, Inc.
Annual Report Filed 2022-04-04 Annual Report For Keystone Medical Services of Gulfport, Inc.
Annual Report Filed 2021-04-05 Annual Report For Keystone Medical Services of Gulfport, Inc.
Annual Report Filed 2020-04-06 Annual Report For Keystone Medical Services of Gulfport, Inc.
Registered Agent Change of Address Filed 2020-01-16 Agent Address Change For
Amendment Form Filed 2019-07-01 Amendment For Keystone Medical Services of Gulfport, Inc.
Annual Report Filed 2019-04-03 Annual Report For Keystone Medical Services of Gulfport, Inc.
Annual Report Filed 2018-03-29 Annual Report For Keystone Medical Services of Gulfport, Inc.

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Date of last update: 16 May 2025

Sources: Company Profile on Mississippi Secretary of State Website