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Gulf Coast Medical Evaluation Center, PC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SAITER, EUGENE T Agent 19000 RADA ROADSILVERHILL, AL 36576

Director

Name Role Address
SAITER, EUGENE T Director 19000 RADA ROADSILVERHILL, AL 36576

Incorporator

Name Role Address
SAITER, EUGENE T Incorporator 19000 RADA ROADSILVERHILL, AL 36576

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State