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ASPIRE DERMATOLOGY, LLC

Headquarter

Company Details

Name: ASPIRE DERMATOLOGY, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 24 Mar 2011 (14 years ago)
Identification Number: 000615179
ZIP code: 02842
County: Newport County
Principal Address: 102 VALLEY ROAD, MIDDLETOWN, RI, 02842, USA
Mailing Address: 102 VALLEY RD, MIDDLETOWN, RI, 02842, USA
Purpose: MEDICAL DERMATOLOGY PRACTICE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

Links between entities

Type Company Name Company Number State
Headquarter of ASPIRE DERMATOLOGY, LLC, ALABAMA 001-128-119 ALABAMA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700176849 2011-04-11 2021-11-04 102 VALLEY RD, MIDDLETOWN, RI, 028425237, US 102 VALLEY RD, MIDDLETOWN, RI, 028425237, US

Contacts

Phone +1 401-239-1800
Fax 4012391801

Authorized person

Name JASON R. MICHAELS
Role MANAGER
Phone 4012391800

Taxonomy

Taxonomy Code 207ND0101X - MOHS-Micrographic Surgery Physician
License Number MD13562
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASPIRE DERMATOLOGY, LLC 401(K) PLAN 2023 451186586 2024-06-28 ASPIRE DERMATOLOGY, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 4012391800
Plan sponsor’s address 102 VALLEY ROAD, MIDDLETOWN, RI, 02842

Agent

Name Role Address
ANKA DAVIS Agent 102 VALLEY ROAD, MIDDLETOWN, RI, 02842, USA

Manager

Name Role Address
JASON MICHAELS Manager 102 VALLEY RD MIDDLETOWN, RI 02842 USA

Filings

Number Name File Date
202448258360 Annual Report 2024-03-11
202332801430 Annual Report 2023-04-12
202217974820 Annual Report 2022-05-31
202207603480 Annual Report 2022-01-03
202106216150 Revocation Notice For Failure to File An Annual Report 2021-12-03
202079361820 Statement of Change of Registered/Resident Agent 2020-12-10
202078615230 Annual Report 2020-12-05
201927646720 Annual Report 2019-11-18
201879603790 Annual Report 2018-10-17
201856105950 Annual Report 2018-01-13

Date of last update: 15 Oct 2024

Sources: Rhode Island Department of State