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MICHAEL R. LEWIS, M.D., P.A

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Company Details

Name: MICHAEL R. LEWIS, M.D., P.A
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 26 Jun 1996 (29 years ago)
Business ID: 631478
ZIP code: 39503
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 9121 Rainwood CircleGulfport, MS 39503

Agent

Name Role Address
MICHAEL R. LEWIS, M.D. Agent 9121 RAINWOOD CIRCLE, GULFPORT, MS 39503

Incorporator

Name Role Address
Alfred R Koenenn Incorporator 1720 23rd Avenue, Gulfport, MS 39501

President

Name Role Address
Michael R Lewis President 9121 Rainwood Circle, Gulfport, MS 39503

Director

Name Role Address
Michael R Lewis Director 9121 Rainwood Circle, Gulfport, MS 39503

National Provider Identifier

NPI Number:
1679724785

Authorized Person:

Name:
DR. MICHAEL R LEWIS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Dissolution Filed 2014-03-03 Dissolution
Annual Report Filed 2013-03-29 Annual Report
Reinstatement Filed 2012-11-14 Reinstatement
Annual Report Filed 2012-09-30 Annual Report
Notice to Dissolve/Revoke Filed 2012-09-13 Notice to Dissolve/Revoke
Notice to Dissolve/Revoke Filed 2011-09-19 Notice to Dissolve/Revoke
Annual Report Filed 2011-04-12 Annual Report
Annual Report Filed 2010-03-24 Annual Report
Annual Report Filed 2009-04-14 Annual Report
Annual Report Filed 2008-04-11 Annual Report

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Date of last update: 20 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website