| Entity Name: | INDIAN RIVER VOLUNTEERS IN MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 12 Mar 2010 (15 years ago) |
| Document Number: | N10000002602 |
| FEI/EIN Number | 272135914 |
| Address: | 2555 Judge Fran Jamieson Way, VIERA, FL, 32940, US |
| Mail Address: | 2555 Judge Fran Jamieson Way, VIERA, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467712695 | 2012-05-22 | 2024-01-31 | 2555 JUDGE FRAN JAMIESON WAY, VIERA, FL, 329405998, US | 2555 JUDGE FRAN JAMIESON WAY, VIERA, FL, 329405998, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 321-639-5813 |
| Fax | 3216377512 |
Authorized person
| Name | MR. LEE ALLEN STOECKERT |
| Role | IT DIRECTOR |
| Phone | 3216395813 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Stoeckert Laurie | Agent | 2555 Judge Fran Jamieson Way, Viera, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| Henriquez Apolinar | Medi | 2555 Judge Fran Jamieson Way, VIERA, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| Stoeckert Laurie | Exec | 2555 Judge Fran Jamieson Way, VIERA, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| Fayer George | Treasurer | 2555 Judge Fran Jamieson Way, VIERA, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| Killian Kate | Boar | 2555 Judge Fran Jamieson Way, VIERA, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| Russell Carol | Secretary | 2555 Judge Fran Jamieson Way, Viera,, FL, 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000090567 | SPACE COAST VOLUNTEERS IN MEDICINE | ACTIVE | 2010-10-04 | 2025-12-31 | No data | 2555 JUDGE FRAN JAMIESON WAY, VIERA, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-09-13 | Stoeckert, Laurie | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-27 | 2555 Judge Fran Jamieson Way, Viera, FL 32940 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-29 | 2555 Judge Fran Jamieson Way, VIERA, FL 32940 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-29 | 2555 Judge Fran Jamieson Way, VIERA, FL 32940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-08 |
| AMENDED ANNUAL REPORT | 2022-09-13 |
| ANNUAL REPORT | 2022-07-14 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
