| Name: | DAK Family Medical LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 02 Jun 2011 (14 years ago) |
| Date of Dissolution: | 14 May 2014 (11 years ago) |
| Date of Status Change: | 14 May 2014 (11 years ago) |
| Identification Number: | 000679125 |
| ZIP code: | 02816 |
| County: | Kent County |
| Principal Address: | 87 SANDY BOTTOM ROAD, COVENTRY, RI, 02816, USA |
| Mailing Address: | 624 HAZARD RD, WEST GREENWICH, RI, 02817, USA |
| Purpose: | Family health care provided. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396032595 | 2011-07-08 | 2011-07-08 | 87 SANDY BOTTOM ROAD, COVENTRY, RI, 02816, US | 87 SANDY BOTTOM ROAD, COVENTRY, RI, 02816, US | |||||||||||||||||
|
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| Phone | +1 401-825-7445 |
Authorized person
| Name | DEBRA KARINSKI |
| Role | OWNER |
| Phone | 4018257445 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | NPP26116 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEBRA KARINSKI | Agent | 624 HAZARD ROAD, WEST GREENWICH, RI, 02817, USA |
| Number | Name | File Date |
|---|---|---|
| 201439040690 | Revocation Certificate For Failure to File the Annual Report for the Year | 2014-05-14 |
| 201433448320 | Revocation Notice For Failure to File An Annual Report | 2014-01-17 |
| 201298014560 | Annual Report | 2012-09-14 |
| 201179400990 | Articles of Organization | 2011-06-02 |
Date of last update: 16 Oct 2024
Sources: Rhode Island Department of State
