| Name: | Louis R. Simeone, DPM, Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 23 Apr 1999 (26 years ago) |
| Date of Dissolution: | 28 Aug 2013 (11 years ago) |
| Date of Status Change: | 28 Aug 2013 (11 years ago) |
| Identification Number: | 000106088 |
| ZIP code: | 02908 |
| County: | Providence County |
| Principal Address: | 1180 SMITH STREET, PROVIDENCE, RI, 02908, USA |
| Purpose: | TO RENDER MEDICAL PROFESSIONAL SERVICES IN THE FIELD OF PODIATRY. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811042732 | 2007-01-23 | 2020-08-22 | 1180 SMITH ST, 1ST FLOOR, PROVIDENCE, RI, 029082034, US | 1180 SMITH ST, 1ST FLOOR, PROVIDENCE, RI, 029082034, US | |||||||||||||||||||||||||
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| Phone | +1 401-331-8873 |
| Fax | 4013319144 |
Authorized person
| Name | DR. LOUIS ROBERT SIMEONE |
| Role | PRESIDENT |
| Phone | 4013318873 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | DPM00287 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9002751 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| PAUL T. DICRISTOFARO, ESQ. | Agent | 400 RESERVOIR AVENUE SUITE 3L, PROVIDENCE, RI, 02907, USA |
| Name | Role | Address |
|---|---|---|
| LOUIS R SIMEONE | PRESIDENT | 1180 SMITH STREET PROVIDENCE, RI 02908 USA |
| Number | Name | File Date |
|---|---|---|
| 201327271450 | Revocation Certificate For Failure to File the Annual Report for the Year | 2013-08-28 |
| 201321863840 | Revocation Notice For Failure to File An Annual Report | 2013-06-03 |
| 201291330540 | Annual Report | 2012-03-22 |
| 201291330630 | Statement of Change of Registered/Resident Agent Office | 2012-03-22 |
| 201174700770 | Annual Report | 2011-02-09 |
| 201057676790 | Annual Report | 2010-02-02 |
| 200941286820 | Annual Report | 2009-01-28 |
| 200807924530 | Annual Report | 2008-02-06 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
