NATIONWIDE CAPITAL SOLUTIONS
Date or Application: Feb 09 2026
Tel: (646) 375 3360 | Email: info@nationwidecapitalsolution.com Address: 2351 Hylan Blvd, Staten Island, NY 10306
Company Information
Legal Name & DBA: Jeffrey DeMercurio MD PA
Legal Entity Type: Corporation
State of Inception: Florida
Inception Date (Under Current Owner): January 1, 2016
Federal TAX ID: 81-4738071
Physical Address: 1425 Hand Ave, Suite C
Ormond Beach, Florida 32174
United States
Ormond Beach, Florida 32174
United States
Business Phone: (386) 317-0444
Business Cell Phone: (386) 882-0428
Business Email: drjeffd@me.com
Has Any Owner Been Convicted of a Felony?: No
Any Existing Cash Advances?: Yes
Balance of Current Advances: $11,000.00
Funding Company: Empire Advance Group ($11,000.00)
Business Bank Name: Bank Of America
Business Home Based: No
Business Property Ownership: Own
Rent/Mortgage Payment: $0.00
Desired Loan Amount: $12,000.00
Business Financial Information
Gross Annual Sales from Last Years Tax Returns: $200,000.00
Average Monthly Bank Deposit #: 20
Average Daily Business Bank Balance: $15,000.00
Average Monthly Sales: $50,000.00
Current Credit Card Processor: Clover
Average Monthly Credit Card Sales:
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Owners/Officers Information
First Name: Jeff
Last Name: DEMERCURIO
Officer Title: Owner
Ownership %: 100.00%
Date Of Birth: February 19, 1970
Social Security Number: 368-62-7059
License State: FL
Drivers License #: D562437700590
Phone: +13868820428
Email: drjeffd@me.com
Address: 1425 Hand Ave, Suite C
Ormond Beach, Florida 32174
United States
Ormond Beach, Florida 32174
United States
Signature:

By signing below, each of the above-listed businesses and business owners/officers (individually and collectively, “you”) authorize Nationwide Capital Solutions, LLC, acting in its capacity as an Independent Sales Organization (“ISO”), to share, transmit, and disclose the information you provide—in this application and in any supporting documents—to its representatives, successors, assigns, lenders, funders, underwriters, and other third-party partners (collectively, “Recipients”) for the purpose of evaluating and facilitating commercial financing transactions, including Merchant Cash Advances, Term Loans, Lines of Credit, SBA transactions, and any related products (collectively, “Transactions”). – Nationwide Capital Solutions, LLC (the ISO) may share your application, supporting documents, bank statements, credit card processor statements, and any other information that you have voluntarily provided. – The ISO’s role is limited to submitting and transmitting information to the Recipients for evaluation. – This authorization permits any Recipient to obtain consumer credit reports, personal credit reports, business credit reports, or investigative reports on its own behalf based on this authorization. – This authorization solely permits the ISO to share the information you provide with the Recipients for the purpose of underwriting, evaluating, and processing your request for financing. You also authorize Nationwide Capital Solutions, LLC, as the ISO, to share your information with Recipients and any other Recipients involved in evaluating or funding your Transaction.

