| 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 (5 years ago) |
| Date of Status Change: | 18 Oct 2019 (5 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) |
| 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 | |||||||||||||||||||
|
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| 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: 09 Oct 2024
Sources: Rhode Island Department of State
