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Coastal ENT Surgery Center, LLC

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Company Details

Name: Coastal ENT Surgery Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 26 Sep 2023 (2 years ago)
Business ID: 1412673
ZIP code: 39532
County: Harrison
State of Incorporation: DELAWARE
Principal Office Address: 970 Tommy Munro Drive, Suite DBiloxi, MS 39532

Agent

Name Role Address
Capitol Corporate Services, Inc. Agent 248 E Capitol St., Ste 840, Jackson, MS 39201

Member

Name Role Address
Vincent Joseph Pisciotta MD Member 970 Tommy Munro Drive, Suite D, Biloxi, MS 39532

National Provider Identifier

NPI Number:
1396539268
Certification Date:
2025-04-07

Authorized Person:

Name:
DR. VINCENT JOSEPH PISCIOTTA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-05-03 Annual Report For Coastal ENT Surgery Center, LLC
Formation Form Filed 2023-09-26 Formation For Coastal ENT Surgery Center, LLC

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Date of last update: 21 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website