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Gulfport Medical Weight Loss LLC

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Company Details

Name: Gulfport Medical Weight Loss LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 01 Jul 2009 (16 years ago)
Business ID: 951651
ZIP code: 39503
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 12337 ASHLEY DR STE FGULFPORT, MS 39503

Agent

Name Role Address
Bentley, Susan Agent 12337 Ashley Dr Ste F, Gulfport, MS 39503

Member

Name Role Address
Susan D Bentley Member 12830 Thomas Oaks Dr, Wilmer, AL 36587
Susan Bentley Member 12830 THOMAS OAKS DR, WILMER, AL 36587

National Provider Identifier

NPI Number:
1720368905

Authorized Person:

Name:
EVA HALL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2012-12-07 Admin Dissolution
Notice to Dissolve/Revoke Filed 2012-09-14 Notice to Dissolve/Revoke
Annual Report LLC Filed 2011-11-10 Annual Report LLC
Formation Form Filed 2009-07-01 Formation

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Date of last update: 09 May 2025

Sources: Company Profile on Mississippi Secretary of State Website