| Name: | Warwick Pain Associates, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 26 Nov 2008 (16 years ago) |
| Date of Dissolution: | 11 Sep 2023 (a year ago) |
| Date of Status Change: | 11 Sep 2023 (a year ago) |
| Identification Number: | 000487551 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 2870 POST ROAD, WARWICK, RI, 02886, USA |
| Mailing Address: | 1342 BELMONT STREET SUITE 205, BROCKTON, MA, 02301, USA |
| Purpose: | ANETHESIA SERVICES |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Comprehensive Pain Management. Warwick Pain Center (trading name, 2019-02-13 - ) South County pain center (trading name, 2016-12-09 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518100056 | 2009-04-14 | 2023-08-24 | PO BOX 4110, WOBURN, MA, 018884110, US | 2870 POST RD, WARWICK, RI, 028863169, US | |||||||||||||||||||
|
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| Phone | +1 401-352-0007 |
| Fax | 4013520023 |
Authorized person
| Name | BORIS SHWARTZMAN |
| Role | PRESIDENT |
| Phone | 4013520007 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | MD12879 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DO CHAN | Agent | 2870 POST ROAD, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| BORIS SHWARTZMAN | MANAGER | 1342 BELMONT ST. SUITE 205 BROCKTON, MA 02301 USA |
| Number | Name | File Date |
|---|---|---|
| 202340857300 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-11 |
| 202337867440 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202212931710 | Annual Report | 2022-03-15 |
| 202102860780 | Annual Report | 2021-10-07 |
| 202197355310 | Annual Report | 2021-06-01 |
| 202194550790 | Revocation Notice For Failure to File An Annual Report | 2021-03-16 |
| 201992108510 | Annual Report | 2019-05-09 |
| 201989188220 | Statement of Change of Registered/Resident Agent Office | 2019-03-25 |
| 201988869580 | Annual Report | 2019-03-19 |
| 201986547930 | Fictitious Business Name Statement | 2019-02-13 |
Date of last update: 13 Oct 2024
Sources: Rhode Island Department of State
