| Name: | CAVA HEART & VASCULAR, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 12 Sep 2013 (12 years ago) |
| Date of Dissolution: | 22 Jul 2019 (6 years ago) |
| Date of Status Change: | 22 Jul 2019 (6 years ago) |
| Identification Number: | 000834567 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | ONE RANDALL SQUARE SUITE 307, PROVIDENCE, RI, 02903, USA |
| Mailing Address: | ONE RANDALL SQUARE SUITE 307, PROVIDENCE, RI, 02904, USA |
| Purpose: | PHYSICIAN OFFICE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568892982 | 2013-11-21 | 2013-12-10 | 1 RANDALL SQ, SUITE 307, PROVIDENCE, RI, 029042709, US | 1 RANDALL SQ, SUITE 307, PROVIDENCE, RI, 029042709, US | |||||||||||||||||||
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| Phone | +1 401-723-1210 |
| Fax | 4017232410 |
Authorized person
| Name | MS. PATRICIA GAGNON |
| Role | OFFICE MANAGER |
| Phone | 4012230223 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | MD11115 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRUCE A. WOLPERT, ESQ. | Agent | 10 DORRANCE STREET SUITE 530, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 201906378970 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-07-22 |
| 201992881800 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
| 201750436880 | Annual Report | 2017-09-25 |
| 201609510910 | Annual Report | 2016-09-27 |
| 201579582340 | Annual Report | 2015-09-17 |
| 201445259480 | Annual Report | 2014-09-03 |
| 201328122120 | Articles of Organization | 2013-09-12 |
Date of last update: 18 Oct 2024
Sources: Rhode Island Department of State
