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Advanced Dermatology of Rhode Island, PC

Company Details

Name: Advanced Dermatology of Rhode Island, PC
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 15 Mar 2017 (8 years ago)
Identification Number: 001671840
Purpose: DERMATOLOGY AND COSMETIC SURGERY
Fictitious names: Advanced Dermatology and Cosmetic Surgery (trading name, 2021-04-08 - )
Principal Address: Google Maps Logo 151 SOUTHHALL LANE STE. 300, MAITLAND, FL, 32751, 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
CT CORPORATION SYSTEM Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

PRESIDENT

Name Role Address
MATT LEAVITT PRESIDENT 151 SOUTHHALL LANE, STE. 300 MAITLAND, FL 32751 USA

TREASURER

Name Role Address
MATT LEAVITT TREASURER 151 SOUTHHALL LANE, STE. 300 MAITLAND, FL 32751 USA

SECRETARY

Name Role Address
MATT LEAVITT SECRETARY 151 SOUTHHALL LANE, STE. 300 MAITLAND, FL 32751 USA

DIRECTOR

Name Role Address
MATT LEAVITT DIRECTOR 151 SOUTHHALL LANE, STE. 300 MAITLAND, FL 32751 USA

National Provider Identifier

NPI Number:
1386185759

Authorized Person:

Name:
DAVID MORELL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202455755030 Annual Report 2024-06-14
202333400470 Annual Report 2023-04-20
202215065070 Annual Report 2022-04-19
202100031380 Statement of Change of Registered/Resident Agent 2021-08-06
202195594720 Fictitious Business Name Statement 2021-04-08

Date of last update: 02 Jun 2025

Sources: Rhode Island Department of State