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ROGER WILLIAMS RADIATION THERAPY, LLC

Company Details

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
Purpose: HEALTHCARE SERVICE PROVIDER
Fictitious names: Precision Radiation Oncology of Rhode Island-Providence (trading name, 2024-05-09 - )
Principal Address: Google Maps Logo 115 CASS AVENUE, WOONSOCKET, RI, 02919, USA

Industry & Business Activity

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

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

MANAGER

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
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
ROBERT LEGARE MD MANAGER 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA

National Provider Identifier

NPI Number:
1851725535
Certification Date:
2022-03-02

Authorized Person:

Name:
DAN COLLINS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
2399317385
Fax:
4012758116

Filings

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

Date of last update: 27 May 2025

Sources: Rhode Island Department of State