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Gulf Coast Ear Nose and Throat Associates, LLC

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Company Details

Name: Gulf Coast Ear Nose and Throat Associates, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 10 Jan 2020 (6 years ago)
Business ID: 1198134
ZIP code: 39503
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 9000 Lorraine RoadGulfport, MS 39503

Agent

Name Role Address
Bryan Leatherman Agent 9000 Lorraine Road, Gulfport, MS 39503

Organizer

Name Role Address
Kaleel Salloum Jr Organizer 1611 24th Avenue, Suite B, Gulfport, MS 39501

Manager

Name Role Address
Bryan D Leatherman Manager 9000 Lorraine Road, Gulfport, MS 39503

National Provider Identifier

NPI Number:
1689241622
Certification Date:
2021-06-08

Authorized Person:

Name:
DR. BRYAN D LEATHERMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Fax:
2286780950

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-17 Annual Report For Gulf Coast Ear Nose and Throat Associates, LLC
Annual Report LLC Filed 2024-02-11 Annual Report For Gulf Coast Ear Nose and Throat Associates, LLC
Annual Report LLC Filed 2023-01-20 Annual Report For Gulf Coast Ear Nose and Throat Associates, LLC
Annual Report LLC Filed 2022-05-19 Annual Report For Gulf Coast Ear Nose and Throat Associates, LLC
Annual Report LLC Filed 2021-02-02 Annual Report For Gulf Coast Ear Nose and Throat Associates, LLC
Formation Form Filed 2020-01-10 Formation For Gulf Coast Ear Nose and Throat Associates, LLC

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Date of last update: 08 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website