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Gulfport ObGyn Clinic, LLC

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Company Details

Name: Gulfport ObGyn Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 13 Nov 2023 (2 years ago)
Business ID: 1418501
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Donald Gaddy MD Agent 18062 1/2 Commission Road, Long Beach, MS 39560

Member

Name Role Address
Donald Gaddy MD Member 18062 1/2 Commission Road, Long Beach, MS 39560

National Provider Identifier

NPI Number:
1902635071
Certification Date:
2024-07-30

Authorized Person:

Name:
SYDNEY GRUICH
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
2288639912

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: AR: Gulfport ObGyn Clinic, LLC
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: Gulfport ObGyn Clinic, LLC
Correction Amendment Form Filed 2023-11-15 Correction For Gulfport ObGyn Clinic, LLC
Formation Form Filed 2023-11-13 Formation For Gulfport ObGyn Clinic, LLC

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Date of last update: 04 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website