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  5. PHYSIO-MED INC.

PHYSIO-MED INC. - Florida Company Profile

Company Details

Entity Name: PHYSIO-MED INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PHYSIO-MED 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 Aug 1995 (30 years ago)
Last Event: AMENDMENT
Event Date Filed: 29 Aug 2017 (8 years ago)
Document Number: P95000067521
FEI/EIN Number 593333949

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2765 S. Bay Street, Eustis, FL, 32726, US
Mail Address: 2765 S. Bay Street, Eustis, FL, 32726, US
ZIP code: 32726
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720096720 2006-08-04 2022-02-02 2765 S BAY ST, EUSTIS, FL, 327266501, US 2765 S BAY ST, EUSTIS, FL, 327266501, US

Contacts
Phone +1 352-589-5595
Fax 3525895747
Phone +1 352-589-5955

Authorized person
Name SCOTTIE BULL
Role PRESIDENT
Phone 3525895595

Taxonomy
Taxonomy Code 261QR0400X - Rehabilitation Clinic/Center
Is Primary Yes

Other Provider Identifiers
Issuer AETNA
Number 72890070
Issuer BCBS
Number Q3N
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSIO-MED INC. CASH BALANCE PENSION PLAN 2023 593333949 2024-09-10 PHYSIO-MED INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621340
Sponsor’s telephone number 3525895595
Plan sponsor’s address 2765 S. BAY STREET, EUSTIS, FL, 32726

Signature of
Role Plan administrator
Date 2024-09-10
Name of individual signing SCOTTIE BULL
Valid signature Filed with authorized/valid electronic signature
PHYSIO-MED INC. CASH BALANCE PENSION PLAN 2023 593333949 2024-11-18 PHYSIO-MED INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621340
Sponsor’s telephone number 3525895595
Plan sponsor’s address 2765 S. BAY STREET, EUSTIS, FL, 32726

Signature of
Role Plan administrator
Date 2024-11-18
Name of individual signing SCOTTIE BULL
Valid signature Filed with authorized/valid electronic signature
PHYSIO MED, INC. 401K PROFIT SHARING PLAN AND TRUST 2023 593333949 2024-05-10 PHYSIO MED INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621340
Sponsor’s telephone number 3525895595
Plan sponsor’s address 2765 S. BAY STREET, EUSTIS, FL, 32726

Signature of
Role Plan administrator
Date 2024-05-10
Name of individual signing SCOTTIE BULL
Valid signature Filed with authorized/valid electronic signature
PHYSIO-MED INC. CASH BALANCE PENSION PLAN 2022 593333949 2023-10-03 PHYSIO-MED INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621340
Sponsor’s telephone number 3525895595
Plan sponsor’s address 2765 S. BAY ST, EUSTIS, FL, 32726

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing TODD HELTON
Valid signature Filed with authorized/valid electronic signature
PHYSIO MED INC 401K PROFIT SHARING PLAN AND TRUST 2022 593333949 2023-05-03 PHYSIO MED INC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621340
Sponsor’s telephone number 3525895595
Plan sponsor’s address 2765 S. BAY STREET, EUSTIS, FL, 32726

Signature of
Role Plan administrator
Date 2023-05-03
Name of individual signing SCOTTIE BULL
Valid signature Filed with authorized/valid electronic signature
PHYSIO MED INC 401K PROFIT SHARING PLAN AND TRUST 2021 593333949 2022-09-09 PHYSIO MED INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621340
Sponsor’s telephone number 3525895595
Plan sponsor’s address 2765 S. BAY STREET, EUSTIS, FL, 32726
PHYSIO-MED INC. CASH BALANCE PENSION PLAN 2021 593333949 2022-09-09 PHYSIO-MED INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621340
Sponsor’s telephone number 3525895595
Plan sponsor’s address 2765 S. BAY STREET, EUSTIS, FL, 32726
PHYSIO-MED INC. CASH BALANCE PENSION PLAN 2020 593333949 2021-07-26 PHYSIO-MED INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621340
Sponsor’s telephone number 3525895595
Plan sponsor’s address 443 PLAZA DRIVE, EUSTIS, FL, 32726
PHYSIO MED INC 401K PROFIT SHARING PLAN AND TRUST 2020 593333949 2021-06-25 PHYSIO MED INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621340
Sponsor’s telephone number 3525895595
Plan sponsor’s address 443 PLAZA DRIVE, EUSTIS, FL, 32726

Signature of
Role Plan administrator
Date 2021-06-25
Name of individual signing CECIL ROBERTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-25
Name of individual signing CECIL ROBERTS
Valid signature Filed with authorized/valid electronic signature
PHYSIO MED INC 401K PROFIT SHARING PLAN AND TRUST 2019 593333949 2020-08-31 PHYSIO MED INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621340
Sponsor’s telephone number 3525895595
Plan sponsor’s address 443 PLAZA DRIVE, EUSTIS, FL, 32726

Signature of
Role Plan administrator
Date 2020-08-31
Name of individual signing CECIL ROBERTS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Bull Scottie President 2765 S. Bay Street, Eustis, FL, 32726
Bull Scottie Agent 2765 S. Bay Street, Eustis, FL, 32726
ELITE REHAB MANAGEMENT LLC Director -

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-12 2765 S. Bay Street, Eustis, FL 32726 -
CHANGE OF MAILING ADDRESS 2022-01-12 2765 S. Bay Street, Eustis, FL 32726 -
REGISTERED AGENT ADDRESS CHANGED 2022-01-12 2765 S. Bay Street, Eustis, FL 32726 -
REGISTERED AGENT NAME CHANGED 2017-08-31 Bull, Scottie -
AMENDMENT 2017-08-29 - -
AMENDMENT 2015-11-12 - -

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-01-12
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-05-12
AMENDED ANNUAL REPORT 2019-08-05
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-12
AMENDED ANNUAL REPORT 2017-09-25
AMENDED ANNUAL REPORT 2017-08-31

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9508047204 2020-04-28 0491 PPP 443 Plaza Drive, EUSTIS, FL, 32726-6523
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 253298.82
Loan Approval Amount (current) 253298.82
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address EUSTIS, LAKE, FL, 32726-6523
Project Congressional District FL-06
Number of Employees 25
NAICS code 621340
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 254776.97
Forgiveness Paid Date 2020-12-04
2291778410 2021-02-03 0491 PPS 443 Plaza Dr, Eustis, FL, 32726-6523
Loan Status Date 2022-04-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 249002.15
Loan Approval Amount (current) 249002.15
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Eustis, LAKE, FL, 32726-6523
Project Congressional District FL-06
Number of Employees 25
NAICS code 621340
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 251662.72
Forgiveness Paid Date 2022-03-17

Companies related by officers

No other companies in our directory share the same officers as PHYSIO-MED INC.

Companies related by address

2765 S. Bay Street, Eustis, FL, 32726, US

B & V REAL ESTATE INVESTMENTS, INC. ELITE REHAB MANAGEMENT LLC

2765 S. Bay Street, Eustis, FL, 32726, US

B & V REAL ESTATE INVESTMENTS, INC. ELITE REHAB MANAGEMENT LLC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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