| Entity Name: | WILDWOOD PEDIATRICS AND ADOLESCENT MEDICINE, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 28 Mar 2001 |
| Business ALEI: | 0677364 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 1 WILDWOOD MEDICAL CENTER, ESSEX, CT, 06426, United States |
| Mailing address: | 1 WILDWOOD MEDICAL CENTER, ESSEX, CT, United States, 06426 |
| ZIP code: | 06426 |
| County: | Middlesex |
| Place of Formation: | CONNECTICUT |
| E-Mail: | kate.deren@wildwoodpediatrics.com |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| MICHELE DILORENZO | Officer | WILDWOOD PEDIATRICS & ADOLESCENT MEDICIN, 1 WILDWOOD MEDICAL CENTER, ESSEX, CT, 06426, United States | No data | No data | 43 SHAILER POND RD., DEEP RIVER, CT, 06417, United States |
| NICOLAS CONDULIS | Officer | WILDWOOD PEDIATRICS & ADOLESCENT MEDICIN, 1 WILDWOOD MEDICAL CENTER, ESSEX, CT, 06426, United States | No data | No data | 6 HILLCREST CT., OLD SAYBROOK, CT, 06475, United States |
| Charlayne McStay | Officer | 1 WILDWOOD MEDICAL CENTER, ESSEX, CT, 06426, United States | No data | No data | 1 Stonewall Ln, Clinton, CT, 06413-2531, United States |
| KENNETH BURKE | Officer | 1 WILDWOOD MEDICAL CENTER, ESSEX, CT, 06426, United States | +1 860-767-0168 | kate.deren@wildwoodpediatrics.com | 13 WESTWOOD ROAD, IVORYTON, CT, 06442, United States |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| KENNETH BURKE | Agent | 1 WILDWOOD MEDICAL CENTER, ESSEX, CT, 06426, United States | 1 WILDWOOD MEDICAL CENTER, ESSEX, CT, 06426, United States | +1 860-767-0168 | kate.deren@wildwoodpediatrics.com | 13 WESTWOOD ROAD, IVORYTON, CT, 06442, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012230968 | 2024-02-01 | No data | Annual Report | Annual Report | No data |
| BF-0011405346 | 2023-02-28 | No data | Annual Report | Annual Report | No data |
| BF-0010314273 | 2022-03-04 | No data | Annual Report | Annual Report | 2022 |
| 0007204434 | 2021-03-04 | No data | Annual Report | Annual Report | 2021 |
| 0006825734 | 2020-03-10 | No data | Annual Report | Annual Report | 2020 |
| 0006522157 | 2019-04-01 | 2019-04-01 | Interim Notice | Interim Notice | No data |
| 0006500431 | 2019-03-27 | No data | Annual Report | Annual Report | 2019 |
| 0006265780 | 2018-10-26 | No data | Annual Report | Annual Report | 2018 |
| 0005961150 | 2017-11-06 | No data | Annual Report | Annual Report | 2016 |
| 0005961151 | 2017-11-06 | No data | Annual Report | Annual Report | 2017 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
