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Southern Vision Center Gulfport, LLC

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Company Details

Name: Southern Vision Center Gulfport, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 21 Nov 2024 (7 months ago)
Business ID: 1466315
ZIP code: 39401
County: Forrest
State of Incorporation: MISSISSIPPI
Principal Office Address: 149 Dover Trace, 149 Dover TraceHattiesburg,, MS 39401
Fictitious names: Southern Vision Center

Agent

Name Role Address
Kiper C. Nelson Agent 149 Dover Trace, Hattiesburg, MS 39401

Organizer

Name Role Address
Neil Rogers Organizer 309 South 40th Avenue, Hattiesburg,, MS 39402

Member

Name Role Address
Kiper C Nelson Member 149 Dover Trace, Hattiesburg,, MS 39401

National Provider Identifier

NPI Number:
1073299244
Certification Date:
2024-12-23

Authorized Person:

Name:
KIPER NELSON
Role:
MANAGING DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
2288961132
Fax:
2288961332

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-08 Annual Report For Southern Vision Center Gulfport, LLC
Amendment Form Filed 2025-03-06 Amendment For Southern Vision Center Gulfport, LLC
Fictitious Name Registration Filed 2024-12-12 Fictitious Name Registration For Southern Vision Center Gulfport, LLC
Formation Form Filed 2024-11-21 Formation For Southern Vision Center Gulfport, LLC

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Date of last update: 15 Apr 2025

Sources: Mississippi Secretary of State