| Name: | DAVID J. DISANTO, M.D., INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 12 May 1983 (42 years ago) |
| Date of Dissolution: | 12 Oct 2022 (2 years ago) |
| Date of Status Change: | 12 Oct 2022 (2 years ago) |
| Identification Number: | 000007581 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 2464 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | TO RENDER PROFESSIONAL SERVICES BY THOSE AUTHORIZED TO PRACTICE MEDICINE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194081463 | 2012-04-11 | 2012-04-11 | 2464 PAWTUCKET AVE, EAST PROVIDENCE, RI, 029143218, US | 2464 PAWTUCKET AVE, EAST PROVIDENCE, RI, 029143218, US | |||||||||||||||||||
|
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| Phone | +1 401-431-0226 |
| Fax | 4014343166 |
Authorized person
| Name | DAVID J DISANTO |
| Role | OWNER |
| Phone | 4014310226 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| License Number | MD05417 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVID A. DIPALMA, ESQ./CPA | Agent | 2447 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| DAVID J DISANTO | PRESIDENT | 2464 PAWTUCKET AVENUE EAST PROVIDENCE, RI 02914 USA |
| Number | Name | File Date |
|---|---|---|
| 202223867880 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-12 |
| 202219980360 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202189441410 | Annual Report | 2021-02-02 |
| 202035699550 | Annual Report | 2020-03-02 |
| 201986447320 | Annual Report | 2019-02-12 |
| 201877800740 | Annual Report | 2018-09-19 |
| 201875412800 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
| 201731154770 | Annual Report | 2017-01-30 |
| 201608934410 | Annual Report | 2016-09-16 |
| 201608934500 | Statement of Change of Registered Office by the Registered Agent | 2016-09-16 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State
