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WILJON W. BELTRE MD, PA - Florida Company Profile

Company Details

Entity Name: WILJON W. BELTRE MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

WILJON W. BELTRE MD, PA 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: 11 Aug 2010 (15 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 09 Oct 2013 (12 years ago)
Document Number: P10000065890
FEI/EIN Number 273519099

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

Address: 1101 N Maitland Ave, Maitland, FL, 32751, US
Mail Address: 1101 N Maitland Ave, Maitland, FL, 32751, US
ZIP code: 32751
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124227988 2007-07-12 2011-03-29 106 BOSTON AVE STE 206, ALTAMONTE SPRINGS, FL, 327014712, US 106 BOSTON AVE, SUITE 206, ALTAMONTE SPRINGS, FL, 327014731, US

Contacts

Phone +1 407-830-6868
Fax 4078307801

Authorized person

Name DR. WILJON W BELTRE
Role OWNER
Phone 4078306868

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
License Number ME76567
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 256082800
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILJON W. BELTRE, MD, PA 401(K) PLAN 2023 273519099 2024-05-06 WILJON W. BELTRE, MD, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3212289704
Plan sponsor’s address 1101 N MAITLAND AVE, MAITLAND, FL, 32751
WILJON W. BELTRE, MD, PA 401(K) PLAN 2022 273519099 2023-09-18 WILJON W. BELTRE, MD, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3212289704
Plan sponsor’s address 106 BOSTON AVE., # 209, ALTAMONTE SPRINGS, FL, 32701
WILJON W. BELTRE, MD, PA 401(K) PLAN 2021 273519099 2022-09-19 WILJON W. BELTRE, MD, PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3212289704
Plan sponsor’s address 106 BOSTON AVE., # 209, ALTAMONTE SPRINGS, FL, 32701
WILJON W. BELTRE, MD, PA 401(K) PLAN 2020 273519099 2021-10-13 WILJON W. BELTRE, MD, PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3212289704
Plan sponsor’s address 106 BOSTON AVE., # 209, ALTAMONTE SPRINGS, FL, 32701
WILJON W. BELTRE, MD, PA 401(K) PLAN 2019 273519099 2020-10-01 WILJON W. BELTRE, MD, PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3212289704
Plan sponsor’s address 106 BOSTON AVE., # 209, ALTAMONTE SPRINGS, FL, 32701
WILJON W. BELTRE, MD, PA 401(K) PLAN 2018 273519099 2019-10-14 WILJON W. BELTRE, MD, PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3212289704
Plan sponsor’s address 106 BOSTON AVE., # 209, ALTAMONTE SPRINGS, FL, 32701
WILJON W. BELTRE, MD, PA 401(K) PLAN 2017 273519099 2018-10-11 WILJON W. BELTRE, MD, PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3212289704
Plan sponsor’s address 745 ORIENTA AVE, STE 1041, ALTAMONTE SPRINGS, FL, 32701

Key Officers & Management

Name Role Address
BELTRE WILJON W President 176 Vista Oak Dr., Longwood, FL, 32779
BELTRE WILJON M Agent 1101 N Maitland Ave, Maitland, FL, 32751

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000135548 BELTRE BARIATRICS ACTIVE 2022-10-31 2027-12-31 - 1101 N MAITLAND AVE, MAITLAND, FL, 32751
G22000120163 CENTER FOR METABOLIC AND OBESITY SURGERY ACTIVE 2022-09-22 2027-12-31 - 106 BOSTON AVE. SUITE 209, ALTAMONTE SPRINGS, FL, 32701
G20000126343 BELTRE BARIATRICS ACTIVE 2020-09-29 2025-12-31 - 106 BOSTON AVE, SUITE 209, ALTAMONTE SPRINGS, FL, 32701
G16000139080 CENTER FOR METABOLIC AND OBESITY SURGERY EXPIRED 2016-12-27 2021-12-31 - 106 BOSTON AVE. SUITE 209, ALTAMONTE SPRINGS, FL, 32701

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-19 1101 N Maitland Ave, Maitland, FL 32751 -
CHANGE OF MAILING ADDRESS 2023-01-19 1101 N Maitland Ave, Maitland, FL 32751 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-19 1101 N Maitland Ave, Maitland, FL 32751 -
REGISTERED AGENT NAME CHANGED 2018-01-11 BELTRE, WILJON MD -
REINSTATEMENT 2013-10-09 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-15
ANNUAL REPORT 2016-01-21
ANNUAL REPORT 2015-01-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4675987710 2020-05-01 0491 PPP 106 BOSTON AVE SUITE 209, ALTAMONTE SPRINGS, FL, 32701
Loan Status Date 2021-06-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 58817
Loan Approval Amount (current) 58817
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ALTAMONTE SPRINGS, SEMINOLE, FL, 32701-0001
Project Congressional District FL-07
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 59435.79
Forgiveness Paid Date 2021-05-26

Date of last update: 01 Apr 2025

Sources: Florida Department of State