| Name: | Family Doctor Plus - RI, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 12 Aug 2014 (10 years ago) |
| Date of Dissolution: | 29 Dec 2020 (4 years ago) |
| Date of Status Change: | 29 Dec 2020 (4 years ago) |
| Identification Number: | 000971163 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 553 KINGSTOWN ROAD, WAKEFIELD, RI, 02879, USA |
| Purpose: | WALK-IN CLINIC |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386041507 | 2014-12-03 | 2016-01-28 | 553 KINGSTOWN RD, WAKEFIELD, RI, 028793600, US | 553 KINGSTOWN RD, WAKEFIELD, RI, 028793600, US | |||||||||||||||
|
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| Phone | +1 401-304-9111 |
| Fax | 4012840625 |
Authorized person
| Name | MICHAEL J WEAVER |
| Role | MEDICAL DIRECTOR |
| Phone | 4013049111 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSEPH HOEFFERLE, ESQ. | Agent | 47 WOOD AVENUE, BARRINGTON, RI, 02806, USA |
| Name | Role | Address |
|---|---|---|
| CHERI NOLAN | MANAGER | 553 KINSTOWN ROAD WAKEFIELD, RI 02879 USA |
| WILLIAM WELTER | MANAGER | 553 KINGSTOWN ROAD WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202082460590 | Revocation Certificate For Failure to File the Annual Report for the Year | 2020-12-29 |
| 202045303120 | Revocation Notice For Failure to File An Annual Report | 2020-07-20 |
| 201880569560 | Annual Report | 2018-10-31 |
| 201880568770 | Statement of Change of Registered/Resident Agent | 2018-10-31 |
| 201752974650 | Statement of Change of Registered/Resident Agent | 2017-11-03 |
| 201752554690 | Annual Report | 2017-10-30 |
| 201752555200 | Annual Report | 2017-10-30 |
| 201752554410 | Reinstatement | 2017-10-30 |
| 201746407760 | Revocation Certificate For Failure to File the Annual Report for the Year | 2017-06-27 |
| 201739759670 | Revocation Notice For Failure to File An Annual Report | 2017-04-06 |
Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
