| 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) |
| 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
