| Name: | LEONARD A. MANNARELLI, II, D.O. INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 07 Feb 2003 (22 years ago) |
| Date of Dissolution: | 18 Oct 2019 (6 years ago) |
| Date of Status Change: | 18 Oct 2019 (6 years ago) |
| Identification Number: | 000129902 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 136 OAK PARK DRIVE, NORTH PROVIDENCE, RI, 02904, USA |
| Purpose: | TO ENGAGE IN THE OPERATION OF A MEDICAL PRACTICE |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134388820 | 2008-06-06 | 2008-06-06 | 135 ATWOOD AVE, CRANSTON, RI, 029204131, US | 135 ATWOOD AVE, CRANSTON, RI, 029204131, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-944-1748 |
| Fax | 4019441746 |
Authorized person
| Name | DR. LEONARD ANTHONY MANNARELLI II |
| Role | OWNER |
| Phone | 4019441748 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | DO452 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANTHONY M. GALLONE, JR. ESQ. | Agent | 7 WATERMAN AVENUE, NORTH PROVIDENCE, RI, 02911, USA |
| Name | Role | Address |
|---|---|---|
| LEONARD A. MANNARELLI II | PRESIDENT | 136 OAK PARK DRIVE NORTH PROVIDENCE, RI 02904 USA |
| Number | Name | File Date |
|---|---|---|
| 201924581240 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-10-18 |
| 201907043930 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
| 201983495360 | Statement of Change of Registered Office by the Registered Agent | 2019-01-01 |
| 201859016910 | Annual Report | 2018-02-22 |
| 201734118850 | Annual Report | 2017-02-13 |
| 201601080150 | Statement of Change of Registered Office by the Registered Agent | 2016-06-27 |
| 201695455650 | Annual Report | 2016-03-31 |
| 201556618200 | Annual Report | 2015-03-05 |
| 201444921540 | Statement of Change of Registered/Resident Agent Office | 2014-08-29 |
| 201433939260 | Annual Report | 2014-01-22 |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
