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Coast Pediatrics, LLC

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Company Details

Name: Coast Pediatrics, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 19 Apr 2023 (2 years ago)
Business ID: 1389342
ZIP code: 39562
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 5605 HWY 614 #BMoss Point, MS 39562

Agent

Name Role Address
Margaret Faye Paetz Agent 7312 Park Ridge Drive, Moss Point, MS 39562

Member

Name Role Address
Margaret Faye Paetz Member 7312 Park Ridge Drive, Moss Point, MS 39562

National Provider Identifier

NPI Number:
1508547472
Certification Date:
2023-08-25

Authorized Person:

Name:
MRS. MARGARET FAYE PAETZ
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2283330759

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-21 Annual Report For Coast Pediatrics, LLC
Annual Report LLC Filed 2024-03-26 Annual Report For Coast Pediatrics, LLC
Formation Form Filed 2023-04-19 Formation For Coast Pediatrics, LLC

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Date of last update: 02 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website