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ORMOND INTERNAL MEDICINE LLC - Florida Company Profile

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Company Details

Entity Name: ORMOND INTERNAL MEDICINE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ORMOND INTERNAL MEDICINE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Sep 2003 (22 years ago)
Document Number: L03000035890
FEI/EIN Number 352214929

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 279 S YONGE STREET, ORMOND BEACH, FL, 32174
Mail Address: 279 S YONGE STREET, ORMOND BEACH, FL, 32174
ZIP code: 32174
City: Ormond Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VAN DIEPEN GAIL Managing Member 1 ST JOHNS PL, ORMOND BEACH, FL, 32176
VAN DIEPEN GAIL Agent 1 ST. JOHN''S PLACE, ORMOND BEACH, FL, 32176

National Provider Identifier

NPI Number:
1023209095
Certification Date:
2024-07-25

Authorized Person:

Name:
PATRICIA GAIL VANDIEPEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3866732743

Form 5500 Series

Employer Identification Number (EIN):
352214929
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2007-03-13 279 S YONGE STREET, ORMOND BEACH, FL 32174 -
CHANGE OF MAILING ADDRESS 2007-03-13 279 S YONGE STREET, ORMOND BEACH, FL 32174 -
REGISTERED AGENT ADDRESS CHANGED 2004-04-12 1 ST. JOHN''S PLACE, ORMOND BEACH, FL 32176 -

Documents

Name Date
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-06-10
ANNUAL REPORT 2019-04-14
ANNUAL REPORT 2018-07-17
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-02-29
ANNUAL REPORT 2015-02-20

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
133470.00
Total Face Value Of Loan:
111380.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$133,470
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$111,380
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$112,469.39
Servicing Lender:
Celtic Bank Corporation
Use of Proceeds:
Payroll: $111,380

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Date of last update: 01 Jul 2025

Sources: Florida Department of State