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Gulf Coast Brain and Spine Institute, PLLC

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Company Details

Name: Gulf Coast Brain and Spine Institute, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 16 Mar 2004 (21 years ago)
Business ID: 852672
State of Incorporation: MISSISSIPPI

Member

Name Role Address
H Rodger Wilder Member 1310 25Th AvenuePO Box130, Gulfport, MS 39502

Agent

Name Role Address
Doty, James R Agent 1340 Broad Avenue Suite 440, Gulfport, MS 39500

National Provider Identifier

NPI Number:
1770670333

Authorized Person:

Name:
MR. JAMES R DOTY
Role:
NEUROSURGEON
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2288674857

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Formation Form Filed 2004-03-16 Formation

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Date of last update: 12 May 2025

Sources: Company Profile on Mississippi Secretary of State Website