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Gulf Medical, LLC

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Company Details

Name: Gulf Medical, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 16 Jan 2007 (19 years ago)
Business ID: 905272
ZIP code: 39564
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 6307 MOSSY OAK DRIVEOCEAN SPRINGS, MS 39564

Agent

Name Role Address
Aultman, Mark Agent 5703 Gulf Tech Drive, Ocean Springs, MS 39564

Member

Name Role Address
Aultman, Mark Member 5703 Gulf Tech Drive, Ocean Springs, MS 39564
Tricia Aultman Member 6307 MOSSY OAK DRIVE, OCEAN SPRINGS, MS 39564

National Provider Identifier

NPI Number:
1720123003

Authorized Person:

Name:
MR. DANIEL D SHEPHERD
Role:
CLINIC MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2283749675

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2013-10-01 Admin Dissolution
Notice to Dissolve/Revoke Filed 2013-07-01 Notice to Dissolve/Revoke
Annual Report LLC Filed 2012-04-10 Annual Report LLC
Annual Report LLC Filed 2011-12-02 Annual Report LLC
Formation Form Filed 2007-01-16 Formation

USAspending Awards / Contracts

Procurement Instrument Identifier:
DJD13CHP0016
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2013-01-22
Description:
IGF::CT::IGF - REVEIW MEDICAL CHARTS
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS
Procurement Instrument Identifier:
DJD12NOP0028
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2012-05-01
Description:
THE PURPOSE OF THIS BILATERAL MODIFICATION IS TO CLOSE OUT PURCHASE ORDER NUMBER DJD-12-NO-P-0028 IN IT'S ENTIRETY. ALL INVOICE(S) HAVE BEEN SUBMITTED AND ALL PAYMENTS RECEIVED.
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
R499: SUPPORT- PROFESSIONAL: OTHER
Procurement Instrument Identifier:
DJD12NOP0015
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2012-01-10
Description:
THE PURPOSE OF THIS BILATERAL MODIFICATION IS TO CLOSEOUT PURCHASE ORDER DJD-12-NO-P-0015 IN IT'S ENTIRETY. ALL INVOICE(S) HAVE BEEN SUBMITTED AND ALL PAYMENTS RECEIVED.
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS

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Date of last update: 26 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website