| Name: | ROGER WILLIAMS RADIATION THERAPY, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 09 Jun 2005 (20 years ago) |
| Identification Number: | 000148567 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 115 CASS AVENUE, WOONSOCKET, RI, 02919, USA |
| Purpose: | HEALTHCARE SERVICE PROVIDER |
| Fictitious names: |
Precision Radiation Oncology of Rhode Island-Providence (trading name, 2024-05-09 - ) |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851725535 | 2013-08-29 | 2022-03-02 | 2270 COLONIAL BLVD, FORT MYERS, FL, 339071412, US | 207 QUAKER LN, 1ST FLOOR, WEST WARWICK, RI, 028932283, US | |||||||||||||||||||
|
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| Phone | +1 239-931-7342 |
| Fax | 2399317385 |
| Phone | +1 401-275-8110 |
| Fax | 4012758116 |
Authorized person
| Name | DAN COLLINS |
| Role | PRESIDENT |
| Phone | 2399317277 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| JIM BURKE | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| FRANK SAIDARA | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| CHARLES POWELL | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| ROBERT LEGARE MD | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| JOSPEH IANONNE | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| JOSEPH ESPAT MD | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| JOHN HOLIVER | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| ALDO ROLFO | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| KEITH HANSEN | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| Number | Name | File Date |
|---|---|---|
| 202455322520 | Annual Report - Amended | 2024-06-05 |
| 202454965980 | Annual Report - Amended | 2024-05-29 |
| 202454131060 | Fictitious Business Name Statement | 2024-05-09 |
| 202453368250 | Annual Report | 2024-04-30 |
| 202334563750 | Annual Report | 2023-04-28 |
| 202215435350 | Annual Report | 2022-04-21 |
| 202102670000 | Annual Report | 2021-10-05 |
| 202060008970 | Annual Report | 2020-10-01 |
| 201921912830 | Annual Report | 2019-10-01 |
| 201879162800 | Annual Report | 2018-10-10 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
