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CAVA HEART & VASCULAR, LLC

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Company Details

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
City: Providence
County: Providence County
Purpose: PHYSICIAN OFFICE
Principal Address: Google Maps Logo ONE RANDALL SQUARE SUITE 307, PROVIDENCE, RI, 02903, USA
Mailing Address: Google Maps Logo ONE RANDALL SQUARE SUITE 307, PROVIDENCE, RI, 02904, USA

Industry & Business Activity

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

Agent

Name Role Address
BRUCE A. WOLPERT, ESQ. Agent 10 DORRANCE STREET SUITE 530, PROVIDENCE, RI, 02903, USA

National Provider Identifier

NPI Number:
1568892982

Authorized Person:

Name:
MS. PATRICIA GAGNON
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
4017232410

Filings

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

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Date of last update: 14 Jul 2025

Sources: Rhode Island Department of State