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RICHARD M. VISE, MD. PLLC

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Company Details

Name: RICHARD M. VISE, MD. PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 01 Jan 2004 (22 years ago)
Business ID: 742885
ZIP code: 39301
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 1800 12TH STMERIDIAN, MS 39301

Agent

Name Role Address
RICHARD M. VISE Agent 1800 12TH STREET, MERIDIAN, MS 39301-4158

Member

Name Role Address
RICHARD M. VISE Member 1800 12TH STREET, MERIDIAN, MS 39301-4158
Richard M Vise Member 1800 12TH ST, MERIDIAN, MS 39301

President

Name Role Address
Richard M Vise President 1800 12TH ST, MERIDIAN, MS 39301

National Provider Identifier

NPI Number:
1922065077

Authorized Person:

Name:
DR. RICHARD M. VISE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
6017033264
Fax:
6017039405

Form 5500 Series

Employer Identification Number (EIN):
550853224
Plan Year:
2009
Number Of Participants:
4
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 2011-03-11 Annual Report LLC
Name Reservation Form Filed 2003-12-10 Name Reservation

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Date of last update: 30 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website