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INDIAN RIVER HEALTH SERVICES INC - Florida Company Profile

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Company Details

Entity Name: INDIAN RIVER HEALTH SERVICES INC
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
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: 29 Apr 1986 (39 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 10 Sep 2019 (6 years ago)
Document Number: N14650
FEI/EIN Number 65-0029298

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

Address: 1000 36th Street, Vero Beach, FL, 32960, US
Mail Address: 1000 36th Street, Vero Beach, FL, 32960, US
ZIP code: 32960
City: Vero Beach
County: Indian River
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Peter David M.D. Director 1000 36th Street, Vero Beach, FL, 32960
Rochester Charmaine DHA,CPA Director 1000 36th Street, Vero Beach, FL, 32960
Del Castillo Barbara Esq. Secretary 1000 36th Street, Vero Beach, FL, 32960
Peter David M.D. President 1000 36th Street, Vero Beach, FL, 32960
Greenwood Alexander Vice President 1000 36th Street, Vero Beach, FL, 32960
Laraway Dennis Chief Financial Officer 1000 36th Street, Vero Beach, FL, 32960
- Agent -

National Provider Identifier

NPI Number:
1588298285
Certification Date:
2025-04-22

Authorized Person:

Name:
TIMOTHY L. LONGVILLE
Role:
CHIEF ACCT OFFICE & CONTROLLER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
207RB0002X - Obesity Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No

Contacts:

Fax:
2166365956

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000109480 INDIAN RIVER MEDICAL ASSOCIATES ACTIVE 2018-10-08 2028-12-31 - 1000 36TH STREET, VERO BEACH, FL, 32960
G12000071497 INDIAN RIVER MEDICAL ASSOCIATES EXPIRED 2012-07-16 2017-12-31 - 1000 36TH STREET, VERO BEACH, FL, 32960

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-19 1000 36th Street, Vero Beach, FL 32960 -
CHANGE OF MAILING ADDRESS 2024-04-19 1000 36th Street, Vero Beach, FL 32960 -
NAME CHANGE AMENDMENT 2019-09-10 INDIAN RIVER HEALTH SERVICES INC -
REGISTERED AGENT NAME CHANGED 2019-05-23 C T CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2019-05-23 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
NAME CHANGE AMENDMENT 1986-10-30 INDIAN RIVER HEALTH SERVICES CORPORATION -

Documents

Name Date
ANNUAL REPORT 2024-04-19
AMENDED ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-29
Name Change 2019-09-10
Reg. Agent Change 2019-05-23
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-03-02

Tax Exempt

Employer Identification Number (EIN) :
65-0029298
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1928-10

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Date of last update: 01 Jul 2025

Sources: Florida Department of State