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PHYSICAL MEDICINE CENTER, INC. - Florida Company Profile

Company Details

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

PHYSICAL MEDICINE CENTER, 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: 02 Jun 1995 (30 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 12 Jun 2003 (22 years ago)
Document Number: P95000042983
FEI/EIN Number 593322200

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

Address: 14522 UNIVERSITY POINT PLACE, TAMPA, FL, 33613-5425, US
Mail Address: 14522 UNIVERSITY POINT PLACE, TAMPA, FL, 33613-5425, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902810963 2006-07-27 2010-08-16 14522 UNIVERSITY POINT PL, TAMPA, FL, 336135425, US 14522 UNIVERSITY POINT PL, TAMPA, FL, 336135425, US

Contacts

Phone +1 813-978-0020
Fax 8139729024

Authorized person

Name DR. ROBERT CARL LUPO
Role OWNER/CLINIC DIRECTOR
Phone 8139780020

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer BCBS
Number 22031
State FL
Issuer LICENSE#
Number PT9405
State FL
Issuer LICENSE#
Number CH5346
State FL
Issuer BCBS
Number 21592
State FL
Issuer LICENSE NUMBER
Number CH9181
State FL
Issuer LICENSE#
Number ME23061
State FL
Issuer LICENSE
Number CH8350
State FL
Issuer BCBS
Number 12043
State FL
Issuer LICENSE#
Number CH8937
State FL

Key Officers & Management

Name Role Address
LUPO ROBERT C President 15804 DAWSON RIDGE DR, TAMPA, FL, 33647
LUPO CATHERINE M Secretary 15804 DAWSON RIDGE DR, TAMPA, FL, 33647
LUPO ROBERT C Agent 15804 DAWSON RIDGE, TAMPA, FL, 33647

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2005-04-28 14522 UNIVERSITY POINT PLACE, TAMPA, FL 33613-5425 -
CHANGE OF MAILING ADDRESS 2005-04-28 14522 UNIVERSITY POINT PLACE, TAMPA, FL 33613-5425 -
REGISTERED AGENT ADDRESS CHANGED 2005-04-28 15804 DAWSON RIDGE, TAMPA, FL 33647 -
AMENDED AND RESTATEDARTICLES 2003-06-12 - -

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-02-15
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-03-26
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-01-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5138778309 2021-01-25 0455 PPS 14522 University Point Pl, Tampa, FL, 33613-5425
Loan Status Date 2022-07-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 48493.55
Loan Approval Amount (current) 48493.55
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33613-5425
Project Congressional District FL-15
Number of Employees 10
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 48947.93
Forgiveness Paid Date 2022-02-10
6440177109 2020-04-14 0455 PPP 14522 UNIVERSITY POINT PL, TAMPA, FL, 33613-5425
Loan Status Date 2021-06-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 52500
Loan Approval Amount (current) 52500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33613-5425
Project Congressional District FL-15
Number of Employees 14
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 53075.34
Forgiveness Paid Date 2021-06-01

Date of last update: 01 Apr 2025

Sources: Florida Department of State