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  5. INDIAN RIVER INTERNAL MEDICINE, LLC

INDIAN RIVER INTERNAL MEDICINE, LLC - Florida Company Profile

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Company Details

Entity Name: INDIAN RIVER INTERNAL MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Feb 2009 (17 years ago)
Document Number: L09000014557
FEI/EIN Number 264242695
Address: 13846 US Highway 1, SEBASTIAN, FL, 32958, US
Mail Address: 13846 US Highway 1, SEBASTIAN, FL, 32958, US
ZIP code: 32958
City: Sebastian
County: Indian River
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PRIETO ENIO L Managing Member 13846 US Highway 1, SEBASTIAN, FL, 32958
PRIETO MILDRED Auth 833 Brookside Drive, Indialantic, FL, 32903
PRIETO ENIO L Agent 13846 US Highway 1, SEBASTIAN, FL, 32958

National Provider Identifier

NPI Number:
1811136773
Certification Date:
2021-07-16
Link:
View on NPI website

Authorized Person:

Name:
DR. ENIO LUIS PRIETO
Role:
SOLE MANAGING MEMBER
Phone:
7725811881

Taxonomy:

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

Contacts:

Phone:
+1 772-581-1881
Fax:
7725811885

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-26 13846 US Highway 1, SEBASTIAN, FL 32958 -
CHANGE OF MAILING ADDRESS 2024-04-26 13846 US Highway 1, SEBASTIAN, FL 32958 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-26 13846 US Highway 1, SEBASTIAN, FL 32958 -

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-04-17
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-01
ANNUAL REPORT 2016-02-19
ANNUAL REPORT 2015-04-15

USAspending Awards / Financial Assistance

Date:
2020-05-23
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-23
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-22
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-22
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-13
Link:
View on USAspending
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:
45700.00
Total Face Value Of Loan:
45700.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$45,700
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$46,000.95
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $45,700

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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