Name: | RENAISSANCE MEDICAL GROUP, INC. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 11 Apr 2000 (25 years ago) |
Date of Dissolution: | 20 Oct 2008 (16 years ago) |
Date of Status Change: | 20 Oct 2008 (16 years ago) |
Identification Number: | 000111958 |
ZIP code: | 02904 |
County: | Providence County |
Principal Address: | 790 NORTH MAIN STREET, PROVIDENCE, RI, 02904-, USA |
Purpose: | TO ENGAGE GENERALLY IN THE BUSINESS OF THE PRACTICE OF MEDICINE AS A PROFESSIONAL CORPORATION |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1740365121 | 2006-10-26 | 2020-08-22 | 790 N MAIN ST, PROVIDENCE, RI, 029045706, US | 790 N MAIN ST, PROVIDENCE, RI, 029045706, US | |||||||||||||||
|
Phone | +1 401-272-3600 |
Fax | 4012723636 |
Authorized person
Name | DR. TAREK WEHBE |
Role | OWNER |
Phone | 4014553574 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KENNETH J. RAMPINO | Agent | 615 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA |
Name | Role | Address |
---|---|---|
DR. TAREK WEHBE | PRESIDENT | 790 NORTH MAIN STREET PROVIDENCE, RI 02904- USA |
Number | Name | File Date |
---|---|---|
201059709900 | Agent Resigned | 2010-03-01 |
200836618260 | Revocation Certificate For Failure to File the Annual Report for the Year | 2008-10-20 |
200812984040 | Revocation Notice For Failure to File An Annual Report | 2008-08-04 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State