| Entity Name: | SELECT MD, PLLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 13 May 2022 |
| Business ALEI: | 2557020 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 23 Hillcrest Park Road, OLD GREENWICH, CT, 06870, United States |
| Mailing address: | 23 Hillcrest Park Road, OLD GREENWICH, CT, United States, 06870 |
| ZIP code: | 06870 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | bmooremd@me.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| Beth Allen Moore, MD | Agent | 23 Hillcrest Park Road, OLD GREENWICH, CT, 06870, United States | 23 Hillcrest Park Road, OLD GREENWICH, CT, 06870, United States | +1 203-524-3724 | bmooremd@me.com | 23 Hillcrest Park Road, OLD GREENWICH, CT, 06870, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| BETH ALLEN MOORE, MD | Officer | 23 Hillcrest Park Rd, Old Greenwich, CT, 06870-1005, United States | 23 Hillcrest Park Rd, Old Greenwich, CT, 06870-1005, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012388803 | 2024-03-28 | No data | Annual Report | Annual Report | No data |
| BF-0011250745 | 2023-02-24 | No data | Annual Report | Annual Report | No data |
| BF-0010592003 | 2022-05-13 | 2022-05-13 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
