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Island Primary Care LLC

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Company Details

Name: Island Primary Care LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 31 Oct 2023 (2 years ago)
Business ID: 1416814
ZIP code: 39564
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 5831 Sylvester StOcean Springs, MS 39564
Fictitious names: Tide & Trend

Agent

Name Role Address
Erin Canady Beech Agent 5831 Sylvester Street, Ocean Springs, MS 39564

Manager

Name Role Address
Erin Beech Manager 5831 Sylvester Street, Ocean Springs, MS 39564

National Provider Identifier

NPI Number:
1386419141
Certification Date:
2023-11-21

Authorized Person:

Name:
ERIN CANADY BEECH
Role:
PHYSICIAN ASSISTANT
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Fictitious Name Registration Filed 2025-01-06 Fictitious Name Registration For Island Primary Care LLC
Annual Report LLC Filed 2025-01-05 Annual Report For Island Primary Care LLC
Annual Report LLC Filed 2024-02-04 Annual Report For Island Primary Care LLC
Formation Form Filed 2023-10-30 Formation For Island Primary Care LLC

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Date of last update: 21 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website