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FOUR CORNERS INTERNAL MEDICINE, LLC - Florida Company Profile

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Company Details

Entity Name: FOUR CORNERS INTERNAL MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FOUR CORNERS 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: 08 Feb 2006 (19 years ago)
Document Number: L06000014010
FEI/EIN Number 204261617

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

Address: 106 POLO PARK EAST BLVD., DAVENPORT, FL, 33897, US
Mail Address: 10603 EMERALD CHASE DR., ORLANDO, FL, 32836, US
ZIP code: 33897
City: Davenport
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KOSANAM SRINATH REDDY M Managing Member 10603 EMERALD CHASE DR., ORLANDO, FL, 32836
KOSANAM SRINATH REDDY O Agent 10603 EMERALD CHASE DR., ORLANDO, FL, 32836

National Provider Identifier

NPI Number:
1346295466

Authorized Person:

Name:
DR. SRINATH REDDY KOSANAM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4072175353
Fax:
8634248823

Form 5500 Series

Employer Identification Number (EIN):
204261617
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2010-01-06 106 POLO PARK EAST BLVD., DAVENPORT, FL 33897 -
CHANGE OF MAILING ADDRESS 2010-01-06 106 POLO PARK EAST BLVD., DAVENPORT, FL 33897 -
REGISTERED AGENT ADDRESS CHANGED 2010-01-06 10603 EMERALD CHASE DR., ORLANDO, FL 32836 -
REGISTERED AGENT NAME CHANGED 2007-01-26 KOSANAM, SRINATH REDDY OFFICER -

Documents

Name Date
ANNUAL REPORT 2025-01-10
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-01-09
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-01-22

USAspending Awards / Financial Assistance

Date:
2021-01-29
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:
80292.00
Total Face Value Of Loan:
80292.00
Date:
2020-05-03
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:
51000.00
Total Face Value Of Loan:
51000.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$51,000
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$51,000
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$51,401.01
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $51,000
Jobs Reported:
5
Initial Approval Amount:
$80,292
Date Approved:
2021-01-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$80,292
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$80,731.96
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $80,288
Utilities: $1

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Date of last update: 01 Jul 2025

Sources: Florida Department of State