| Name: | Gulf Coast Radiation Oncology Professional Services, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 29 Dec 2008 (16 years ago) |
| Date of dissolution: | 19 Jan 2022 |
| Entity Number: | 000-259-533 |
| Register Number: | 000259533 |
| County: | Baldwin |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 71 N SECTION STREET SUITE BFAIRHOPE, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
| Authorized Capital: | $10 |
Activities
MANAGEMENT SERVICES TO MEDICAL PRACTICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568873461 | 2014-05-13 | 2015-06-12 | PO BOX 102546, ATLANTA, GA, 303682546, US | 1703 N BUNNER ST, FOLEY, AL, 365352229, US | |||||||||||||||||
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| Phone | +1 251-948-7897 |
| Phone | +1 251-943-1680 |
| Fax | 2519431683 |
Authorized person
| Name | WILLIAM HIXSON |
| Role | AUTHORIZED DELEGATE |
| Phone | 2519431680 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RYAN, DAVID A | Agent | 112 WEST LAUREL AVEFOLEY, AL 36535 |
| Name | Role | Address |
|---|---|---|
| ROSELIUS, JENNIFER L | Incorporator | 25366 PROFIT DRIVEDAPHNE, AL 36526 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
