| Entity Name: | MICHAEL E. BELOTTI, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MICHAEL E. BELOTTI, D.O., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: | 20 Jul 1984 (41 years ago) |
| Document Number: | H13141 |
| FEI/EIN Number |
592444545
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10111 FOREST HILL BLVD, SUITE 202, W. PALM BEACH, FL, 33414 |
| Mail Address: | 10111 FOREST HILL BLVD, SUITE 202, W. PALM BEACH, FL, 33414 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154623155 | 2010-11-23 | 2011-10-27 | 10111 FOREST HILL BLVD, SUITE 202, WELLINGTON, FL, 334146108, US | 10111 FOREST HILL BLVD, SUITE 202, WELLINGTON, FL, 334146108, US | |||||||||||||||||||||||||
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| Phone | +1 561-798-1995 |
| Fax | 5617984422 |
Authorized person
| Name | MICHAEL E. BELOTTI JR. |
| Role | PRESIDENT |
| Phone | 5617981995 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS4654 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | DZ247A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BELOTTI, MICHAEL E., JR | Director | 8418 ARIMA LANE, WELLINGTON, FL |
| BELOTTI, MICHAEL E., JR | President | 8418 ARIMA LANE, WELLINGTON, FL |
| BELOTTI MICHAEL E | Agent | 8418 ARIMA LANE, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-30 | 10111 FOREST HILL BLVD, SUITE 202, W. PALM BEACH, FL 33414 | - |
| CHANGE OF MAILING ADDRESS | 2012-04-30 | 10111 FOREST HILL BLVD, SUITE 202, W. PALM BEACH, FL 33414 | - |
| REGISTERED AGENT NAME CHANGED | 2006-04-01 | BELOTTI, MICHAEL E | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-06-30 | 8418 ARIMA LANE, WELLINGTON, FL 33414 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-02-07 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3392677804 | 2020-05-26 | 0455 | PPP | 10111 FOREST HILL BLVD, W. PALM BEACH, FL, 33414 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
