| Name: | Seacoast Thoracic and Cardiovascular Surgery, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 10 Jul 1996 (29 years ago) |
| Date of Dissolution: | 24 Apr 2023 (2 years ago) |
| Date of Status Change: | 24 Apr 2023 (2 years ago) |
| Identification Number: | 000090388 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | ONE RANDALL SQUARE SUITE 414, PROVIDENCE, RI, 02904, USA |
| Purpose: | THE GENERAL PRACTICE OF MEDICINE. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Historical names: |
Anthony L. Moulton, M.D., Inc. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841470051 | 2007-11-06 | 2015-08-19 | ONE RANDALL SQUARE, SUITE 414, PROVIDENCE, RI, 02904, US | 1 RANDALL SQ, SUITE 414, PROVIDENCE, RI, 029042709, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-331-4175 |
| Fax | 4013315718 |
Authorized person
| Name | DR. ANTHONY L MOULTON |
| Role | PRESIDENT |
| Phone | 4013314175 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | 07965 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GIRARD R. VISCONTI, ESQ. | Agent | 564 SOUTH WATER STREET, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| ANTHONY L. MOULTON MD | PRESIDENT | ONE RANDALL SQUARE, SUITE 414 PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| ANTHONY L MOULTON MD | TREASURER | ONE RANDALL SQUARE STE 414 PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| ANTHONY L MOULTON MD | SECRETARY | ONE RANDALL SQ. STE 414 PROVIDENCE, RI 02904 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1997-09-15 | Anthony L. Moulton, M.D., Inc. | Seacoast Thoracic and Cardiovascular Surgery, Inc. |
| Number | Name | File Date |
|---|---|---|
| 202333674510 | Articles of Dissolution | 2023-04-24 |
| 202211426820 | Annual Report | 2022-02-23 |
| 202198774570 | Statement of Change of Registered Office by the Registered Agent | 2021-06-29 |
| 202197112490 | Annual Report | 2021-05-21 |
| 202196777320 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202196009430 | Statement of Change of Registered Office by the Registered Agent | 2021-04-27 |
| 201927480450 | Annual Report | 2019-11-14 |
| 201984257750 | Annual Report | 2019-01-11 |
| 201856274890 | Annual Report | 2018-01-17 |
| 201627908560 | Annual Report | 2016-11-23 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
