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WELLCARE MEDICAL OF NORTH SHORE PLLC

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Company Details

Name: WELLCARE MEDICAL OF NORTH SHORE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 07 Oct 2020 (5 years ago)
Date of dissolution: 29 Dec 2023
Entity Number: 5852479
ZIP code: 11040
County: Nassau
Place of Formation: New York
Address: 1300 UNION TURNPIKE, SUITE #206, NEW HYDE PARK, NY, United States, 11040

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1300 UNION TURNPIKE, SUITE #206, NEW HYDE PARK, NY, United States, 11040

National Provider Identifier

NPI Number:
1780310466
Certification Date:
2022-12-08

Authorized Person:

Name:
EVAN B SHAPIRO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6315068909

History

Start date End date Type Value
2020-10-07 2023-12-29 Address 1300 UNION TURNPIKE, SUITE #206, NEW HYDE PARK, NY, 11040, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231229000966 2023-12-29 CERTIFICATE OF DISSOLUTION-CANCELLATION 2023-12-29
210304000250 2021-03-04 CERTIFICATE OF PUBLICATION 2021-03-04
201007000434 2020-10-07 ARTICLES OF ORGANIZATION 2020-10-07

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State