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 | |||||||||||||||||||||
|
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