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MICHAEL J. BUSCEMI, JR., D.O., P.A.

MICHAEL J. BUSCEMI, JR., D.O., P.A. - Florida Company Profile

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Company Details

Entity Name:	MICHAEL J. BUSCEMI, JR., D.O., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	04 Dec 2009 (16 years ago)
Document Number:	P09000098456
FEI/EIN Number	300582912
Address:	10968 SHELDON RD., TAMPA, FL, 33626
Mail Address:	10968 SHELDON RD., TAMPA, FL, 33626
ZIP code:	33626
City:	Tampa
County:	Hillsborough
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
BUSCEMI, JR. MICHAEL J	President	10968 Sheldon Road, TAMPA, FL, 33629
BUSCEMI, JR. MICHAEL J	Director	10968 Sheldon Road, TAMPA, FL, 33629
Buscemi Michael JJr.	Agent	10968 Sheldon Road, TAMPA, FL, 33626

National Provider Identifier

NPI Number:

1902134166

Link:

View on NPI website

Authorized Person:

Name:

MICHAEL J. BUSCEMI JR.

Role:

OWNER

Phone:

8139264010

Taxonomy:

Selected Taxonomy:

207XP3100X - Pediatric Orthopaedic Surgery Physician

Is Primary:

No

Selected Taxonomy:

207XX0004X - Orthopaedic Foot and Ankle Surgery Physician

Is Primary:

No

Selected Taxonomy:

207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician

Is Primary:

No

Selected Taxonomy:

207XX0801X - Orthopaedic Trauma Physician

Is Primary:

No

Selected Taxonomy:

207XS0106X - Orthopaedic Hand Surgery Physician

Is Primary:

No

Contacts:

Phone:

+1 813-926-4010

Fax:

8139265424

Form 5500 Series

Employer Identification Number (EIN):

300582912

Plan Year:

2016

Number Of Participants:

6

Sponsors Telephone Number:

8139264010

File:

Plan Year:

2016

Number Of Participants:

6

Sponsors Telephone Number:

8139264010

File:

Plan Year:

2015

Number Of Participants:

6

Sponsors Telephone Number:

8139264010

File:

Plan Year:

2014

Number Of Participants:

7

Sponsors Telephone Number:

8139264010

Plan Year:

2014

Number Of Participants:

7

Sponsors Telephone Number:

8139264010

File:

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2020-02-11	Buscemi, Michael J, Jr.	-
REGISTERED AGENT ADDRESS CHANGED	2020-02-11	10968 Sheldon Road, TAMPA, FL 33626	-
CHANGE OF PRINCIPAL ADDRESS	2009-12-10	10968 SHELDON RD., TAMPA, FL 33626	-
CHANGE OF MAILING ADDRESS	2009-12-10	10968 SHELDON RD., TAMPA, FL 33626	-

Documents

Name	Date
ANNUAL REPORT	2024-04-24
ANNUAL REPORT	2023-04-28
ANNUAL REPORT	2022-01-29
ANNUAL REPORT	2021-01-28
ANNUAL REPORT	2020-02-11
ANNUAL REPORT	2019-02-02
ANNUAL REPORT	2018-01-31
ANNUAL REPORT	2017-02-02
ANNUAL REPORT	2016-01-19
ANNUAL REPORT	2015-01-22

Paycheck Protection Program

Jobs Reported:

6

Initial Approval Amount:

$70,000

Date Approved:

2020-04-03

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$70,000

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$70,584.93

Servicing Lender:

DFCU Financial

Use of Proceeds:

Payroll: $56,000
Utilities: $4,500
Rent: $9,500

Jobs Reported:

6

Initial Approval Amount:

$69,970

Date Approved:

2021-02-03

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$69,970

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$70,479.92

Servicing Lender:

DFCU Financial

Use of Proceeds:

Payroll: $69,967
Utilities: $1

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Date of last update: 02 Jul 2025

Sources: Florida Department of State