| Name: | Seaside Primary Care LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Nov 2021 (3 years ago) |
| Identification Number: | 001731439 |
| ZIP code: | 02891 |
| County: | Washington County |
| Principal Address: | 27 EAST AVENUE, WESTERLY, RI, 02891, USA |
| Purpose: | PHYSICIAN MEDICAL OFFICE GENERAL |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295492411 | 2021-11-22 | 2021-11-22 | 27 EAST AVE, WESTERLY, RI, 028913107, US | 27 EAST AVE, WESTERLY, RI, 028913107, US | |||||||||||||||
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| Phone | +1 401-246-8496 |
| Fax | 8604955116 |
Authorized person
| Name | MRS. DEBRA L FURTADO |
| Role | OWNER |
| Phone | 4012468496 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEBRA FURTADO | Agent | 27 EAST AVENUE, WESTERLY, RI, 02891, USA |
| Name | Role | Address |
|---|---|---|
| DEBRA L. FURTADO | MANAGER | 27 EAST AVE. WESTERLY, RI 02891 USA |
| DAVID M. FURTADO | MANAGER | 27 EAST AVE. WESTERLY, RI 02891 USA |
| Number | Name | File Date |
|---|---|---|
| 202444328490 | Annual Report | 2024-01-21 |
| 202327536060 | Annual Report | 2023-02-05 |
| 202209589430 | Annual Report | 2022-02-03 |
| 202209421460 | Statement of Change of Registered/Resident Agent | 2022-02-03 |
| 202104377880 | Articles of Organization | 2021-11-01 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
