| Name: | Epoch Family Medicine, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 20 Mar 2012 (13 years ago) |
| Date of Dissolution: | 08 Jun 2016 (9 years ago) |
| Date of Status Change: | 08 Jun 2016 (9 years ago) |
| Identification Number: | 000788895 |
| ZIP code: | 02806 |
| County: | Bristol County |
| Principal Address: | 60 BAY SPRING AVENUE UNIT 6B, BARRINGTON, RI, 02806, USA |
| Mailing Address: | 24 SHORT ROAD, BARRINGTON, RI, 02806, USA |
| Purpose: | Medical Practice-Primary Care |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467709014 | 2012-08-13 | 2012-10-25 | 60 BAY SPRING AVE, #B6, BARRINGTON, RI, 028061386, US | 60 BAY SPRING AVE, #B6, BARRINGTON, RI, 028061386, US | |||||||||||||||||||
|
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| Phone | +1 401-338-3525 |
| Fax | 4046982521 |
Authorized person
| Name | DR. DEBRA L ROBERTS |
| Role | PHYSICIAN |
| Phone | 4013383525 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | MD11566 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEBRA L ROBERTS | Agent | 24 SHORT ROAD, BARRINGTON, RI, 02806, USA |
| Number | Name | File Date |
|---|---|---|
| 201600116850 | Revocation Certificate For Failure to File the Annual Report for the Year | 2016-06-08 |
| 201694518130 | Revocation Notice For Failure to File An Annual Report | 2016-03-14 |
| 201449965530 | Annual Report | 2014-11-12 |
| 201328000950 | Annual Report | 2013-09-09 |
| 201306764670 | Certificate of Correction | 2013-01-02 |
| 201291240560 | Articles of Organization | 2012-03-20 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
