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Medical Care Center, PLLC

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Company Details

Name: Medical Care Center, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 28 Aug 2000 (25 years ago)
Business ID: 692408
ZIP code: 39564
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 3434 BIENVILLE BLVDOCEAN SPRINGS, MS 39564
Historical names: JANUS KULPA, M.D., PLLC

Agent

Name Role Address
JANUS KULPA Agent 3099 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564

Member

Name Role Address
KALEEL G SALLOUM JR Member 2400 14TH ST #105, PO BOX 1717, GULFPORT, MS 39502
J Kulpa Member 1408 HELLMERS LANE, OCEAN SPRINGS, MS 39564

National Provider Identifier

NPI Number:
1316168339

Authorized Person:

Name:
JANUS KULPA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2288751124

Form 5500 Series

Employer Identification Number (EIN):
640929922
Plan Year:
2011
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
9
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Annual Report LLC Filed 2012-03-19 Annual Report LLC
Annual Report LLC Filed 2011-05-23 Annual Report LLC
Amendment Form Filed 2004-03-05 Amendment
Name Reservation Form Filed 2000-08-28 Name Reservation

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website