| Name: | Gulf Coast Medical Evaluation Center, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 27 Jul 2011 (13 years ago) |
| Date of dissolution: | 12 Sep 2024 |
| Entity Number: | 000-020-727 |
| Register Number: | 000020727 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 6475 SPANISH FORT BLVD STE GSPANISH FORT, AL 36527 |
| Registered Office Street Address ZIP Code: | 36527 |
| Authorized Capital: | 1000 |
Activities
PERFORM INDEPENDENT MEDICAL EVALUATIONS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982154357 | 2016-10-10 | 2016-10-10 | 22765 HIGHWAY 59, ROBERTSDALE, AL, 36567, US | 3851 ILLINOIS ST, ORANGE BEACH, AL, 365613518, US | |||||||||||||||||||||
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| Phone | +1 251-947-2320 |
| Fax | 2519472321 |
| Phone | +1 251-610-1619 |
Authorized person
| Name | KARON DAVIS |
| Role | BUSINESS MANAGER |
| Phone | 2516101619 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 8254 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAITER, EUGENE T | Agent | 19000 RADA ROADSILVERHILL, AL 36576 |
| Name | Role | Address |
|---|---|---|
| SAITER, EUGENE T | Director | 19000 RADA ROADSILVERHILL, AL 36576 |
| Name | Role | Address |
|---|---|---|
| SAITER, EUGENE T | Incorporator | 19000 RADA ROADSILVERHILL, AL 36576 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
