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Picayune Family Practice Clinic LLC

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Company Details

Name: Picayune Family Practice Clinic LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 11 Apr 2008 (17 years ago)
Business ID: 930336
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Ali, Amy Agent 11564 Stanton Cir;P O Box 6913, Gulfport, MS 39506

Member

Name Role Address
Amy Ali Member 11564 Stanton CircleP O Box 6913, Gulfport, MS 39506
Ronnie Ali Member 11564 Stanton CirP O Box 6913, Gulfport, MS 39506

National Provider Identifier

NPI Number:
1972771806

Authorized Person:

Name:
MRS. AMY ALI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2283857719
Fax:
6017982184

Filings

Type Status Filed Date Description
Dissolution Filed 2009-03-02 Dissolution
Formation Form Filed 2008-04-11 Formation

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Date of last update: 08 May 2025

Sources: Company Profile on Mississippi Secretary of State Website