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UNIVERSITY PHYSICAL MEDICINE, INC, - Florida Company Profile

Company Details

Entity Name: UNIVERSITY PHYSICAL MEDICINE, INC,
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

UNIVERSITY PHYSICAL MEDICINE, INC, 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: 30 Apr 2012 (13 years ago)
Document Number: P12000040339
FEI/EIN Number 45-5195249

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

Address: 1224 OCALA RD., TALLAHASSEE, FL, 32304, US
Mail Address: 1224 OCALA RD., TALLAHASSEE, FL, 32304, US
ZIP code: 32304
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679811970 2013-01-21 2014-02-04 1224 OCALA RD, TALLAHASSEE, FL, 323041548, US 1224 OCALA RD, TALLAHASSEE, FL, 323041548, US

Contacts

Phone +1 850-576-2129
Fax 8505769602

Authorized person

Name DR. NICHOLAS BELLETTO
Role OWNER/DOCTOR
Phone 8505762129

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number ME 57039
State FL
Is Primary Yes
Taxonomy Code 208D00000X - General Practice Physician
License Number RN 2567282
State FL
Is Primary No

Key Officers & Management

Name Role Address
BELLETTO NICHOLAS President 1224 OCALA RD., TALLAHASSEE, FL, 32304
BELLETTO NICHOLAS Secretary 1224 OCALA RD., TALLAHASSEE, FL, 32304
BELLETTO NICHOLAS Treasurer 1224 OCALA RD., TALLAHASSEE, FL, 32304
BELLETTO NICHOLAS W Agent 1224 OCALA RD, TALLAHASSEE, FL, 32304

Documents

Name Date
ANNUAL REPORT 2025-02-14
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-02-14
ANNUAL REPORT 2021-03-29
ANNUAL REPORT 2020-02-21
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-03-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7516197204 2020-04-28 0491 PPP 1224 Ocala Rd., Tallahassee, FL, 32304
Loan Status Date 2021-05-25
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 68612.5
Loan Approval Amount (current) 68612.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17652
Servicing Lender Name Capital City Bank
Servicing Lender Address 217 N Monroe St, TALLAHASSEE, FL, 32301-7619
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Tallahassee, LEON, FL, 32304-0001
Project Congressional District FL-02
Number of Employees 12
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 17652
Originating Lender Name Capital City Bank
Originating Lender Address TALLAHASSEE, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 69268.55
Forgiveness Paid Date 2021-04-21
3709118610 2021-03-17 0491 PPS 1224 Ocala Rd, Tallahassee, FL, 32304-1548
Loan Status Date 2021-09-30
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 67764.1
Loan Approval Amount (current) 67764.1
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17652
Servicing Lender Name Capital City Bank
Servicing Lender Address 217 N Monroe St, TALLAHASSEE, FL, 32301-7619
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tallahassee, LEON, FL, 32304-1548
Project Congressional District FL-02
Number of Employees 11
NAICS code 621310
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 17652
Originating Lender Name Capital City Bank
Originating Lender Address TALLAHASSEE, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 68050.01
Forgiveness Paid Date 2021-08-24

Date of last update: 03 Apr 2025

Sources: Florida Department of State