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Gulf Coast Lung and Sleep Medicine Institute, LLC

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Company Details

Name: Gulf Coast Lung and Sleep Medicine Institute, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 22 Feb 2006 (19 years ago)
Business ID: 887210
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Rubio, Edmundo Raul Agent 4300 West Railroad Street Suite B, Gulfport, MS 39501

Manager

Name Role Address
Edmundo Raul Rubio Manager 4300 West Railroad Street Suite B, Gulfport, MS 39501

National Provider Identifier

NPI Number:
1447357652

Authorized Person:

Name:
EDMUNDO R RUBIO
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
2288313348

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Formation Form Filed 2006-02-22 Formation

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Date of last update: 25 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website