Name: | Gulf Coast Pediatrics, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 08 Jun 2011 (13 years ago) (Companies founded in June 2011) |
Entity Number: | 000-015-306 |
Register Number: | 000015306 |
ZIP code: | 36619 (Companies in Mobile, 36619) |
County: | Mobile |
Place of Formation: | Mobile County |
Registered Office Street Address: | 5675 THREE NOTCH RD STE CMOBILE, AL 36619 |
Activities
MEDICAL PRACTICE/NURSING
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1194011288 | 2011-06-27 | 2014-01-31 | PO BOX 191178, MOBILE, AL, 366196178, US | 5675 THREE NOTCH RD STE C, MOBILE, AL, 366191617, US | |||||||||||||||||||
|
Phone | +1 251-445-4440 |
Fax | 2514454435 |
Authorized person
Name | MICHELLE K NAMAN |
Role | MANAGING PARTNER |
Phone | 2514454440 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
License Number | 25929 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
NAMAN, MICHELLE | Agent | 2894 RICHMOND CIRCLEMOBILE, AL 36695 |
Name | Role | Address |
---|---|---|
NAMAN, MICHELLE | Organizer | 2894 RICHMOND CIRCLEMOBILE, AL 36695 |
DODD, DAWN | Organizer | 5370 SOUTHERN OAKS DRIVEGRAND BAY, AL 36541 |
MCGOWIN, WILLIAM T IV | Organizer | 63 SOUTH ROYAL STREET, SUITE 1100MOBILE, AL 36602 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State