| Entity Name: | UNIVERSITY INTERNAL MEDICINE OF PALM BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jul 2004 (21 years ago) |
| Document Number: | L04000055805 |
| FEI/EIN Number | 861112292 |
| Address: | 10151 ENTERPRISE CENTER BLVD, 202, BOYNTON BEACH, FL, 33437, US |
| Mail Address: | PO BOX 480456, DELRAY BEACH, FL, 33448, US |
| ZIP code: | 33437 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639189392 | 2006-08-08 | 2011-05-11 | PO BOX 480456, DELRAY BEACH, FL, 334480456, US | 10151 ENTERPRISE CENTER BLVD, SUITE 202, BOYNTON BEACH, FL, 334373759, US | |||||||||||||||
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| Phone | +1 561-374-8811 |
| Fax | 5613748822 |
Authorized person
| Name | DR. SONNY VAN NGUYEN |
| Role | MANAGER |
| Phone | 5613748811 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NGUYEN SONNY | Agent | 10151 ENTERPRISE CENTER BLVD, BOYNTON BEACH, FL, 33437 |
| Name | Role | Address |
|---|---|---|
| NGUYEN SONNY M | Manager | 10151 ENTERPRISE CENTER BLVD, #202, BOYNTON BEACH, FL, 33437 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-19 | 10151 ENTERPRISE CENTER BLVD, 202, BOYNTON BEACH, FL 33437 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-19 | 10151 ENTERPRISE CENTER BLVD, 202, BOYNTON BEACH, FL 33437 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-02-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
