Entity Name: | INTERNAL MEDICINE OF BREVARD, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 13 Jul 2010 (15 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 21 Aug 2023 (a year ago) |
Document Number: | L10000073858 |
FEI/EIN Number | 273052522 |
Address: | 1019 HARVIN WAY, ROCKLEDGE, FL, 32955, US |
Mail Address: | 1019 Harvin Way Suite 120, SUITE 110, Rockledge, FL, 32955, US |
ZIP code: | 32955 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003184508 | 2011-12-12 | 2011-12-12 | 1978 ROCKLEDGE BLVD, STE 108, ROCKLEDGE, FL, 329553722, US | 1978 ROCKLEDGE BLVD, STE 108, ROCKLEDGE, FL, 329553722, US | |||||||||||||||||||
|
Phone | +1 321-631-0392 |
Fax | 3216315787 |
Authorized person
Name | DR. JOHN NOLAN SWEENEY JR. |
Role | OWNER/MANAGING AGENT |
Phone | 3216310392 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | OS6941 |
State | FL |
Is Primary | Yes |
Name | Role |
---|---|
INTERNAL MEDICINE OF BREVARD, PLLC | Agent |
Name | Role | Address |
---|---|---|
Sweeney John | Managing Member | 1019 HARVIN WAY, ROCKLEDGE, FL, 32955 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2023-08-21 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-08-21 | 1019 HARVIN WAY, SUITE110, ROCKLEDGE, FL 32955 | No data |
CHANGE OF MAILING ADDRESS | 2023-08-21 | 1019 HARVIN WAY, SUITE110, ROCKLEDGE, FL 32955 | No data |
REGISTERED AGENT NAME CHANGED | 2023-08-21 | Internal Medicine of Brevard | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-08-21 | 1019 Harvin Way, SUITE110, Rockledge, FL 32955 | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-25 |
REINSTATEMENT | 2023-08-21 |
ANNUAL REPORT | 2021-03-18 |
ANNUAL REPORT | 2020-06-04 |
ANNUAL REPORT | 2019-05-02 |
ANNUAL REPORT | 2018-04-27 |
ANNUAL REPORT | 2017-05-01 |
ANNUAL REPORT | 2016-04-29 |
ANNUAL REPORT | 2015-04-30 |
ANNUAL REPORT | 2014-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State