| Name: | OCEAN STATE PAIN MANAGEMENT, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 11 Jan 2007 (18 years ago) |
| Date of Dissolution: | 01 Dec 2015 (9 years ago) |
| Date of Status Change: | 01 Dec 2015 (9 years ago) |
| Identification Number: | 000160952 |
| ZIP code: | 02916 |
| County: | Providence County |
| Principal Address: | 75 NEWMAN AVENUE SUITE 100, RUMFORD, RI, 02916, USA |
| Purpose: | MEDICINE AND PAIN MANAGEMENT |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811039449 | 2007-02-12 | 2009-05-21 | 219 CASS AVE, SUITE 1, WOONSOCKET, RI, 028954741, US | 219 CASS AVE, SUITE B, WOONSOCKET, RI, 028954741, US | |||||||||||||||||||
|
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| Phone | +1 401-766-1600 |
| Fax | 4017661700 |
| Phone | +1 401-333-6100 |
| Fax | 4013336900 |
Authorized person
| Name | DR. ABDUL BARAKAT |
| Role | PRESIDENT |
| Phone | 4013336100 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ABDUL R. BARAKAT | Agent | 115 CASS AVENUE, WOONSOCKET, RI, 02895, USA |
| Name | Role | Address |
|---|---|---|
| ABDUL R. BARAKAT | PRESIDENT | 60 AMY LANE NORTH ATTLEBORO, MA 02760 USA |
| Number | Name | File Date |
|---|---|---|
| 201588654270 | Revocation Certificate For Failure to File the Annual Report for the Year | 2015-12-01 |
| 201564632700 | Revocation Notice For Failure to File An Annual Report | 2015-07-09 |
| 201435426650 | Annual Report | 2014-02-11 |
| 201313648790 | Annual Report | 2013-03-08 |
| 201290848550 | Annual Report | 2012-03-10 |
| 201175584900 | Annual Report | 2011-02-24 |
| 201059566440 | Annual Report | 2010-03-01 |
| 200942825550 | Annual Report | 2009-02-25 |
| 200809268380 | Annual Report | 2008-02-28 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
