| Name: | CareConnectMD Rhode Island PC |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 20 Aug 2024 (8 months ago) |
| Identification Number: | 001777966 |
| Purpose: | MEDICINE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528897980 | 2024-08-01 | 2024-08-01 | 3090 BRISTOL ST STE 200, COSTA MESA, CA, 926263061, US | 10 DORRANCE ST, PROVIDENCE, RI, 029032018, US | |||||||||||||||
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| Phone | +1 888-789-9585 |
| Fax | 5628034500 |
Authorized person
| Name | ORLANDO COLLADO |
| Role | OWNER |
| Phone | 7145146118 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENTS INC. | Agent | 47 WOOD AVE. STE. 2, BARRINGTON, RI, 02806, USA |
| Name | Role | Address |
|---|---|---|
| ALLEN BAUZON | INCORPORATOR | 3090 BRISTOL ST., STE. 200 COSTA MESA, CA 92626 USA |
| Number | Name | File Date |
|---|---|---|
| 202458949670 | Articles of Incorporation | 2024-08-20 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
