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Coastline Medical Center, PLLC

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Company Details

Name: Coastline Medical Center, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 15 Jul 2005 (20 years ago)
Business ID: 875252
ZIP code: 39540
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 10536 AUTO MALL PARKWAY, SUITE ADIBERVILLE, MS 39540

Agent

Name Role Address
Dick, Henry N., III Agent 759 Vieux Marche Mall;, Biloxi, MS 39530

Member

Name Role Address
Hang A Le Member 103 E Black Knight, spring, TX 77382

Vice President

Name Role Address
Nguyen Huynh Vice President 10536 AUTO MALL PARKWAY, STE A, DIBERVILLE, MS 39540

President

Name Role Address
Hang Le President 10536 AUTO MALL PARKWAY, STE A, DIBERVILLE, MS 39540

National Provider Identifier

NPI Number:
1952525859

Authorized Person:

Name:
DR. NGUYEN PHONG HUYNH
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2283964060

Filings

Type Status Filed Date Description
Dissolution Filed 2020-10-27 Dissolution For Coastline Medical Center, PLLC
Annual Report LLC Filed 2020-10-27 Annual Report For Coastline Medical Center, PLLC
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report LLC Filed 2019-06-17 Annual Report For Coastline Medical Center, PLLC
Annual Report LLC Filed 2018-09-26 Annual Report For Coastline Medical Center, PLLC
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report LLC Filed 2017-09-14 Annual Report For Coastline Medical Center, PLLC
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report LLC Filed 2016-10-10 Annual Report For Coastline Medical Center, PLLC
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke

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Date of last update: 05 May 2025

Sources: Company Profile on Mississippi Secretary of State Website