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UNIVERSITY INTERNAL MEDICINE OF PALM BEACH, LLC - Florida Company Profile

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Company Details

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
City: Boynton Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NGUYEN SONNY M Manager 10151 ENTERPRISE CENTER BLVD, #202, BOYNTON BEACH, FL, 33437
NGUYEN SONNY Agent 10151 ENTERPRISE CENTER BLVD, BOYNTON BEACH, FL, 33437

National Provider Identifier

NPI Number:
1639189392

Authorized Person:

Name:
DR. SONNY VAN NGUYEN
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
5613748822

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2012-01-19 10151 ENTERPRISE CENTER BLVD, 202, BOYNTON BEACH, FL 33437 -
REGISTERED AGENT ADDRESS CHANGED 2012-01-19 10151 ENTERPRISE CENTER BLVD, 202, BOYNTON BEACH, FL 33437 -

Documents

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

USAspending Awards / Financial Assistance

Date:
2020-05-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 02 Aug 2025

Sources: Florida Department of State