| 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 (2 years ago) |
| Date of Status Change: | 11 Sep 2023 (2 years 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 |
| Fictitious names: |
Comprehensive Pain Management. Warwick Pain Center (trading name, 2019-02-13 - ) South County pain center (trading name, 2016-12-09 - ) |
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
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9521057005 | 2020-04-09 | 0165 | PPP | 2870 POST RD, WARWICK, RI, 02886-3169 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 13 Oct 2024
Sources: Rhode Island Department of State
