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GULFPORT SURGERY CENTER, LLC.

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Company Details

Name: GULFPORT SURGERY CENTER, LLC.
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 20 Mar 2000 (25 years ago)
Business ID: 684278
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
JAMES S KAIGLER Agent 4500 THIRTEENTH ST, PO BOX 1810, GULFPORT, MS 39502

Member

Name Role Address
JOHN B BEARD Member 700 NORTH STATE STREET SUITE 500, JACKSON, MS 39225

National Provider Identifier

NPI Number:
1326045444

Authorized Person:

Name:
WILLIAM BRIAN HERTZOG
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Name Reservation Form Filed 2000-03-20 Name Reservation

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website