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Gulfport Outpatient Anesthesia, P.A.

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Company Details

Name: Gulfport Outpatient Anesthesia, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 21 Nov 2007 (18 years ago)
Business ID: 922799
ZIP code: 39507
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 450 East Pass Road, Suite 108Gulfport, MS 39507

Agent

Name Role Address
Koenenn, Alfred R. Agent 3415 A Washington Avenue;PO Box 7158, Gulfport, MS 39506

Incorporator

Name Role Address
Alfred R. Koenenn Incorporator 3415 A Washington Avenue, Gulfport, MS 39507

Director

Name Role Address
Charles M. Lobrano Director PO Box 1842, Gulfport, MS 39502

President

Name Role Address
Charles M. Lobrano President PO Box 1842, Gulfport, MS 39502

Treasurer

Name Role Address
John S. Heath Treasurer PO Box 1842, Gulfport, MS 39502

National Provider Identifier

NPI Number:
1245402148

Authorized Person:

Name:
DIANE SCHULTZ
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
2288311868

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 Filed 2012-04-03 Annual Report
Annual Report Filed 2011-04-15 Annual Report
Annual Report Filed 2010-03-25 Annual Report
Annual Report Filed 2009-06-22 Annual Report
Annual Report Filed 2008-09-08 Annual Report
Formation Form Filed 2007-11-21 Formation

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website