| Name: | Dr. Michael C. Souza, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 30 May 1996 (29 years ago) |
| Identification Number: | 000089818 |
| ZIP code: | 02915 |
| County: | Providence County |
| Principal Address: | 1275 WAMPANOAG TRAIL 1ST FLOO, EAST PROVIDENCE, RI, 02915, USA |
| Purpose: | TO PROVIDE PRIMARY MEDICAL CARE. |
NAICS
621111 Offices of Physicians (except 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 general or specialized medicine (except psychiatry or psychoanalysis) or surgery. 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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114082591 | 2006-12-26 | 2020-08-22 | 2761 PAWTUCKET AVE, EAST PROVIDENCE, RI, 029143347, US | 2761 PAWTUCKET AVE, EAST PROVIDENCE, RI, 029143347, US | |||||||||||||||
|
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| Phone | +1 401-434-3350 |
| Fax | 4014345230 |
Authorized person
| Name | DR. MICHAEL CHRISTOPHER SOUZA |
| Role | PRESIDENT |
| Phone | 4014343350 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICHAEL CHRISTOPHER SOUZA DO | PRESIDENT | 1275 WAMPANOAG TRAIL 1ST FLOOR EAST PROVIDENCE, RI 02915 USA |
| MICHAEL C SOUZA | PRESIDENT | 1275 WAMPANOAG TRAIL E. PROVIDENCE, RI 02915 USA |
| DR MICHAEL SOUZA | PRESIDENT | 1275 WAMPANOAG TRAIL, 1ST FLOO E. PROVIDENCE, RI 02915 UNI |
| Name | Role | Address |
|---|---|---|
| JONATHAN N. SAVAGE, ESQ. | Agent | SAVAGE LAW PARTNERS LLP 39 PIKE STREET, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| DR MICHAEL SOUZA | OTHER OFFICER | 1275 WAMPANOAG TRAIL, 1ST FLOO E. PROVIDENCE, RI 02915 UNI |
| Number | Name | File Date |
|---|---|---|
| 202446146380 | Annual Report | 2024-02-11 |
| 202331111350 | Annual Report | 2023-03-19 |
| 202208288460 | Annual Report | 2022-01-20 |
| 202196298230 | Statement of Change of Registered Office by the Registered Agent | 2021-05-06 |
| 202187459930 | Annual Report | 2021-01-20 |
| 202032521160 | Annual Report | 2020-01-16 |
| 201987990690 | Annual Report | 2019-02-28 |
| 201860444520 | Annual Report | 2018-03-17 |
| 201737207380 | Annual Report | 2017-03-01 |
| 201694764870 | Annual Report | 2016-03-16 |
Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
