| Name: | Dermatology Care Specialists, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 26 Nov 2008 (16 years ago) |
| Date of Dissolution: | 04 Nov 2011 (13 years ago) |
| Date of Status Change: | 04 Nov 2011 (13 years ago) |
| Identification Number: | 000487533 |
| ZIP code: | 02888 |
| County: | Kent County |
| Principal Address: | 647 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA |
| Purpose: | THE PRACTICE OF MEDICINE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619936028 | 2006-03-23 | 2009-07-14 | 647 JEFFERSON BLVD, WARWICK, RI, 028861318, US | 647 JEFFERSON BLVD, WARWICK, RI, 028861318, US | |||||||||||||||||||
|
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| Phone | +1 401-739-8021 |
| Fax | 4017398045 |
Authorized person
| Name | MRS. PAULETTE M CECCOFIGLIO |
| Role | BILLING MANAGER |
| Phone | 4017398021 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | RI331 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NOMATE T. KPEA | PRESIDENT | 647 JEFFERSON BLVD. WARWICK, RI 02888 USA |
| Number | Name | File Date |
|---|---|---|
| 201185070950 | Miscellaneous Filing (No Fee) | 2011-11-10 |
| 201184878430 | Revocation Certificate For Failure to Maintain a Registered Agent | 2011-11-04 |
| 201181530070 | Miscellaneous Filing (No Fee) | 2011-08-19 |
| 201181448870 | Revocation Notice For Failure to Maintain a Registered Agent | 2011-08-11 |
| 201180415620 | Agent Resigned | 2011-06-24 |
| 201058529770 | Annual Report | 2010-02-16 |
| 200942540840 | Annual Report | 2009-02-18 |
| 200838078440 | Articles of Incorporation | 2008-11-26 |
Date of last update: 13 Oct 2024
Sources: Rhode Island Department of State
