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University Plastic Surgeons, Inc.

Company Details

Name: University Plastic Surgeons, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 04 Oct 1983 (42 years ago)
Date of Dissolution: 31 Dec 2020 (4 years ago)
Date of Status Change: 31 Dec 2020 (4 years ago)
Identification Number: 000002383
ZIP code: 02818
County: Kent County
Purpose: PRACTICE OF MEDICINE
Fictitious names: University Craniofacial Surgery Associates (trading name, 2011-07-05 - )
University Hand Surgery Associates (trading name, 2007-10-15 - )
University Plastic Surgery Associates (trading name, 1997-12-08 - )
University Plastic Surgeons, Inc. (trading name, 1992-09-23 - 1996-02-28)
Historical names: Jack R. Bevivino, D.D.S., M.D., Ltd.
Jack R. Bevivino, M.D., Ltd.
Principal Address: Google Maps Logo 75 FOX RUN, EAST GREENWICH, RI, 02818, USA

Industry & Business Activity

NAICS

621112 Offices of Physicians, Mental Health Specialists

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
CONSTANCE D. BEVIVINO Agent 75 FOX RUN, EAST GREENWICH, RI, 02818, USA

PRESIDENT

Name Role Address
JACK BEVIVINO PRESIDENT 12551 WALDEN RUN DRIVE FORT MYERS, FL 33913 USA

National Provider Identifier

NPI Number:
1093882615

Authorized Person:

Name:
JACK R BEVIVINO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
4015219297

Form 5500 Series

Employer Identification Number (EIN):
050404640
Plan Year:
2009
Number Of Participants:
3
Sponsors Telephone Number:

Events

Type Date Old Value New Value
Name Change 1996-02-28 Jack R. Bevivino, M.D., Ltd. University Plastic Surgeons, Inc.
Name Change 1985-02-14 Jack R. Bevivino, D.D.S., M.D., Ltd. Jack R. Bevivino, M.D., Ltd.

Filings

Number Name File Date
202183999430 Articles of Dissolution 2020-12-31
202035486420 Annual Report 2020-02-27
201986162160 Annual Report 2019-02-07
201859334320 Annual Report 2018-02-27
201739023780 Annual Report 2017-03-27

Date of last update: 16 May 2025

Sources: Rhode Island Department of State