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  5. FLORIDA PHYSICAL MEDICINE, LLC

FLORIDA PHYSICAL MEDICINE, LLC - Florida Company Profile

Company Details

Entity Name: FLORIDA PHYSICAL MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FLORIDA PHYSICAL MEDICINE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 12 Feb 2004 (21 years ago)
Document Number: L04000011676
FEI/EIN Number 542144380

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 625 6th avenue south, St Peterburg, FL, 33701, US
Mail Address: 625 6th avenue south, St Peterburg, FL, 33701, US
ZIP code: 33701
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972678084 2006-11-22 2007-10-04 2200 W BAY DR, LARGO, FL, 337701929, US 5622 CENTRAL AVE, ST PETERSBURG, FL, 337071718, US

Contacts
Phone +1 727-518-2977
Phone +1 727-345-7900

Authorized person
Name TONJE STEVENS
Role ADM
Phone 7275182977

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA PHYSICAL MEDICINE LLC 401(K) PROFIT SHARING PLAN AND TRUST 2023 542144380 2024-07-10 FLORIDA PHYSICAL MEDICINE LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7277429517
Plan sponsor’s address 2200 W.BAY DRIVE, LARGO, FL, 33770

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing MATTHEW CUSUMANO
Valid signature Filed with authorized/valid electronic signature
FLORIDA PHYSICAL MEDICINE LLC 401(K) PROFIT SHARING PLAN AND TRUST 2022 542144380 2023-06-20 FLORIDA PHYSICAL MEDICINE LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7275182977
Plan sponsor’s address 2200 WEST BAY DRIVE, LARGO, FL, 33770

Signature of
Role Plan administrator
Date 2023-06-20
Name of individual signing MATTHEW CUSUMANO
Valid signature Filed with authorized/valid electronic signature
FLORIDA PHYSICAL MEDICINE LLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 542144380 2022-09-09 FLORIDA PHYSICAL MEDICINE LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7275182977
Plan sponsor’s address 2200 WEST BAY DRIVE, LARGO, FL, 33770

Signature of
Role Plan administrator
Date 2022-09-09
Name of individual signing MATTHEW CUSUMANO
Valid signature Filed with authorized/valid electronic signature
FLORIDA PHYSICAL MEDICINE LLC 401(K) PROFIT SHARING PLAN AND TRUST 2020 542144380 2021-10-05 FLORIDA PHYSICAL MEDICINE LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7275182977
Plan sponsor’s address 2200 WEST BAY DRIVE, LARGO, FL, 33770
FLORIDA PHYSICAL MEDICINE LLC 401(K) PROFIT SHARING PLAN AND TRUST 2019 542144380 2020-10-14 FLORIDA PHYSICAL MEDICINE LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7275182977
Plan sponsor’s address 2200 WEST BAY DRIVE, LARGO, FL, 33770
FLORIDA PHYSICAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2018 542144380 2019-07-08 FLORIDA PHYSICAL MEDICINE, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7275182977
Plan sponsor’s address 2200 WEST BAY DRIVE, LARGO, FL, 33770
FLORIDA PHYSICAL MEDICINE LLC 401 K PROFIT SHARING PLAN TRUST 2017 542144380 2018-06-06 FLORIDA PHYSICAL MEDICINE LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7275182977
Plan sponsor’s address 2200 WEST BAY DRIVE, LARGO, FL, 33770

Signature of
Role Plan administrator
Date 2018-06-06
Name of individual signing MATTHEW D. CUSUMANO
Valid signature Filed with authorized/valid electronic signature
FLORIDA PHYSICAL MEDICINE LLC 401 K PROFIT SHARING PLAN TRUST 2016 542144380 2017-08-01 FLORIDA PHYSICAL MEDICINE LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7275182977
Plan sponsor’s address 2200 WEST BAY DRIVE, LARGO, FL, 33770

Signature of
Role Plan administrator
Date 2017-08-01
Name of individual signing MATTHEW D CUSUMANO
Valid signature Filed with authorized/valid electronic signature
FLORIDA PHYSICAL MEDICINE LLC 401 K PROFIT SHARING PLAN TRUST 2015 542144380 2016-10-12 FLORIDA PHYSICAL MEDICINE LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7275182977
Plan sponsor’s address 2200 WEST BAY DRIVE, LARGO, FL, 33770

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing MATTHEW CUSUMANO
Valid signature Filed with authorized/valid electronic signature
FLORIDA PHYSICAL MEDICINE LLC 401 K PROFIT SHARING PLAN TRUST 2014 542144380 2015-07-13 FLORIDA PHYSICAL MEDICINE LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7275182977
Plan sponsor’s address 2200 WEST BAY DRIVE, LARGO, FL, 33770

Signature of
Role Plan administrator
Date 2015-07-13
Name of individual signing LOUISA MOSCOW
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CUSUMANO MATTHEW D Managing Member 625 6th avenue south, St Peterburg, FL, 33701
CUSUMANO MATTHEW D Agent 625 6th avenue south, St Peterburg, FL, 33701

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-30 625 6th avenue south, 475, St Peterburg, FL 33701 -
CHANGE OF MAILING ADDRESS 2023-01-30 625 6th avenue south, 475, St Peterburg, FL 33701 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-30 625 6th avenue south, 475, St Peterburg, FL 33701 -
REGISTERED AGENT NAME CHANGED 2008-04-28 CUSUMANO, MATTHEW D -

Documents

Name Date
ANNUAL REPORT 2025-01-29
ANNUAL REPORT 2024-02-28
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-03-16
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-04-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5398267701 2020-05-01 0455 PPP 2200 W BAY DR, LARGO, FL, 33770-1929
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 286193
Loan Approval Amount (current) 286193
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address LARGO, PINELLAS, FL, 33770-1929
Project Congressional District FL-13
Number of Employees 22
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 288678.57
Forgiveness Paid Date 2021-03-19
6987738307 2021-01-27 0455 PPS 2200 West Bay Dr, Largo, FL, 33770-1929
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 286192
Loan Approval Amount (current) 286192
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Largo, PINELLAS, FL, 33770-1929
Project Congressional District FL-13
Number of Employees 18
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 287948.36
Forgiveness Paid Date 2021-09-09

Companies related by officers

No other companies in our directory share the same officers as FLORIDA PHYSICAL MEDICINE, LLC

Companies related by address

No other companies in our directory share the same address as FLORIDA PHYSICAL MEDICINE, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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