| Name: | FRANK W. LAFAZIA, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 30 May 2019 (6 years ago) |
| Identification Number: | 001696522 |
| ZIP code: | 02893 |
| County: | Kent County |
| Principal Address: | 37 WASHINGTON STREET, WEST WARWICK, RI, 02893, USA |
| Purpose: | PHYSICIAN'S OFFICE |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952949489 | 2019-12-16 | 2020-09-18 | 37 WASHINGTON ST, WEST WARWICK, RI, 028934927, US | 37 WASHINGTON ST, WEST WARWICK, RI, 028934927, US | |||||||||||||||||||||
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| Phone | +1 401-467-6210 |
| Fax | 4018218270 |
Authorized person
| Name | FRANK W LAFAZIA |
| Role | OWNER/ PHYSICIAN |
| Phone | 4014676210 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1659377307 |
| State | SC |
| Name | Role | Address |
|---|---|---|
| FRANK R. LAFAZIA | Agent | 37 WASHINGTON STREET, WEST WARWICK, RI, 02893, USA |
| Name | Role | Address |
|---|---|---|
| FRANK W LAFAZIA | PRESIDENT | 351 NEW LONDON AVENUE, UNIT 304 WARWICK, RI 02888 USA |
| Number | Name | File Date |
|---|---|---|
| 202444820480 | Annual Report | 2024-01-26 |
| 202335933840 | Annual Report | 2023-05-22 |
| 202207924170 | Annual Report | 2022-01-12 |
| 202207924530 | Statement of Change of Registered/Resident Agent | 2022-01-12 |
| 202207924800 | Annual Report | 2022-01-12 |
| 202207923920 | Reinstatement | 2022-01-12 |
| 202101686020 | Registered Office Not Maintained | 2021-09-14 |
| 202199743430 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-07-29 |
| 202196997890 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202079490520 | Annual Report | 2020-12-11 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
