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Gulf Coast Pediatrics, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
NAMAN, MICHELLE Agent 2894 RICHMOND CIRCLEMOBILE, AL 36695

Organizer

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