| 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 |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Precision Radiation Oncology of Rhode Island-Providence (trading name, 2024-05-09 - ) |
| 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
