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PRIMARY CARE MEDICAL CENTER OF GULFPORT, PLLC

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Company Details

Name: PRIMARY CARE MEDICAL CENTER OF GULFPORT, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 15 Jun 2001 (24 years ago)
Business ID: 703503
ZIP code: 39503
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 15280 Elmwood CourtGulfport, MS 39503

Agent

Name Role Address
ROGER REED Agent 15444 Dedeaux Road, Suite - B, Gulfport, MS 39503

Manager

Name Role Address
Bobbie Rhea Robicheaux Manager 15280 Elmwood Court, GULFPORT, MS 39503

Member

Name Role Address
ROGER REED Member 15280 Elmwood Court, GULFPORT, MS 39503

National Provider Identifier

NPI Number:
1427271840

Authorized Person:

Name:
MRS. ANGELA V MCCLURE
Role:
INSURANCE CLERK
Phone:

Taxonomy:

Selected Taxonomy:
2083X0100X - Occupational Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2288329990

Form 5500 Series

Employer Identification Number (EIN):
010695875
Plan Year:
2016
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
19
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report LLC Filed 2017-04-04 Annual Report For PRIMARY CARE MEDICAL CENTER OF GULFPORT, PLLC
Annual Report LLC Filed 2016-07-07 Annual Report For PRIMARY CARE MEDICAL CENTER OF GULFPORT, PLLC
Annual Report LLC Filed 2015-04-06 Annual Report For PRIMARY CARE MEDICAL CENTER OF GULFPORT, PLLC
Reinstatement Filed 2014-12-29 Reinstatement For PRIMARY CARE MEDICAL CENTER OF GULFPORT, PLLC
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Amendment Form Filed 2013-12-17 Amendment
Annual Report LLC Filed 2012-03-10 Annual Report LLC

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Date of last update: 04 May 2025

Sources: Company Profile on Mississippi Secretary of State Website