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Diabetes Clinic of the Coast PLLC

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Company Details

Name: Diabetes Clinic of the Coast PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 11 Sep 2015 (10 years ago)
Business ID: 1075554
ZIP code: 39501
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 1110 Broad Avenue, Suite 600Gulfport, MS 39501

Agent

Name Role Address
Christopher Roberts Agent 711 E. Second Street, Pass Christian, MS 39571

Organizer

Name Role Address
Melonie Roberts Organizer PO Box 793, Pass Christian, MS 39571

Manager

Name Role Address
Melonie Roberts Manager PO Box 793, Pass Christian, MS 39571

National Provider Identifier

NPI Number:
1538532221

Authorized Person:

Name:
MRS. MELONIE R ROBERTS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2282201581

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report LLC Filed 2016-03-27 Annual Report For Diabetes Clinic of the Coast PLLC
Formation Form Filed 2015-09-11 Formation For Diabetes Clinic of the Coast PLLC

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Date of last update: 16 May 2025

Sources: Company Profile on Mississippi Secretary of State Website