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  5. MID-FLORIDA PSYCHIATRY CENTER, PL

MID-FLORIDA PSYCHIATRY CENTER, PL - Florida Company Profile

Company Details

Entity Name: MID-FLORIDA PSYCHIATRY CENTER, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

MID-FLORIDA PSYCHIATRY CENTER, PL is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 19 May 2003 (22 years ago)
Document Number: L03000018009
FEI/EIN Number 562358997

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 8235 CHAMPIONS GATE BLVD., DAVENPORT, FL, 33896, US
Mail Address: 8235 CHAMPIONS GATE BLVD., DAVENPORT, FL, 33896, US
ZIP code: 33896
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376599472 2006-05-26 2010-11-22 2504 SAND MINE RD, DAVENPORT, FL, 338973402, US 2504 SAND MINE RD, DAVENPORT, FL, 338973402, US

Contacts
Phone +1 863-419-7645

Authorized person
Name VIDYASAGAR REDDY VANGALA
Role MANAGER MEMBER
Phone 8634197645

Taxonomy
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number ME82811
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN 2023 562358997 2024-10-04 MID-FLORIDA PSYCHIATRY CENTER, PL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621112
Sponsor’s telephone number 8634197645
Plan sponsor’s address 8235 CHAMPIONS GATE BLVD, CHAMPIONS GATE, FL, 33886

Signature of
Role Plan administrator
Date 2024-10-04
Name of individual signing VIDYASAGAR VANGALA
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN 2022 562358997 2023-07-11 MID-FLORIDA PSYCHIATRY CENTER, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621112
Sponsor’s telephone number 8634197645
Plan sponsor’s address 8235 CHAMPIONS GATE BLVD, CHAMPIONS GATE, FL, 33886

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing VIDYASAGAR VANGALA
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN 2021 562358997 2022-09-20 MID-FLORIDA PSYCHIATRY CENTER, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621112
Sponsor’s telephone number 8634197645
Plan sponsor’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897

Plan administrator’s name and address
Administrator’s EIN 562358997
Plan administrator’s name MID-FLORIDA PSYCHIATRY CENTER, PL
Plan administrator’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897
Administrator’s telephone number 8634197645

Signature of
Role Plan administrator
Date 2022-09-20
Name of individual signing VIDYASAGAR VANGALA
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN 2020 562358997 2021-09-23 MID-FLORIDA PSYCHIATRY CENTER, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621112
Sponsor’s telephone number 8634197645
Plan sponsor’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897

Plan administrator’s name and address
Administrator’s EIN 562358997
Plan administrator’s name MID-FLORIDA PSYCHIATRY CENTER, PL
Plan administrator’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897
Administrator’s telephone number 8634197645

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing VIDYASAGAR VANGALA
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN 2019 562358997 2020-10-05 MID-FLORIDA PSYCHIATRY CENTER, PL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621112
Sponsor’s telephone number 8634197645
Plan sponsor’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897

Plan administrator’s name and address
Administrator’s EIN 562358997
Plan administrator’s name MID-FLORIDA PSYCHIATRY CENTER, PL
Plan administrator’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897
Administrator’s telephone number 8634197645

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing VIDYASAGAR VANGALA
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN 2018 562358997 2019-09-19 MID-FLORIDA PSYCHIATRY CENTER, PL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621112
Sponsor’s telephone number 8634197645
Plan sponsor’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897

Plan administrator’s name and address
Administrator’s EIN 562358997
Plan administrator’s name MID-FLORIDA PSYCHIATRY CENTER, PL
Plan administrator’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897
Administrator’s telephone number 8634197645

Signature of
Role Plan administrator
Date 2019-09-19
Name of individual signing VIDYASAGAR VANGALA
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN 2017 562358997 2018-05-01 MID-FLORIDA PSYCHIATRY CENTER, PL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621112
Sponsor’s telephone number 8634197645
Plan sponsor’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897

Plan administrator’s name and address
Administrator’s EIN 562358997
Plan administrator’s name MID-FLORIDA PSYCHIATRY CENTER, PL
Plan administrator’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897
Administrator’s telephone number 8634197645

Signature of
Role Plan administrator
Date 2018-05-01
Name of individual signing VIDYASAGAR VANGALA
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN 2016 562358997 2017-03-30 MID-FLORIDA PSYCHIATRY CENTER, PL 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621112
Sponsor’s telephone number 8634197645
Plan sponsor’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897

Plan administrator’s name and address
Administrator’s EIN 562358997
Plan administrator’s name MID-FLORIDA PSYCHIATRY CENTER, PL
Plan administrator’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897
Administrator’s telephone number 8634197645

Signature of
Role Plan administrator
Date 2017-03-30
Name of individual signing VIDYASAGAR VANGALA
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN 2015 562358997 2016-06-22 MID-FLORIDA PSYCHIATRY CENTER, PL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621112
Sponsor’s telephone number 8634197645
Plan sponsor’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897

Plan administrator’s name and address
Administrator’s EIN 562358997
Plan administrator’s name MID-FLORIDA PSYCHIATRY CENTER, PL
Plan administrator’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897
Administrator’s telephone number 8634197645

Signature of
Role Plan administrator
Date 2016-06-22
Name of individual signing VIDYASAGAR VANGALA
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN 2014 562358997 2015-07-22 MID-FLORIDA PSYCHIATRY CENTER, PL 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621112
Sponsor’s telephone number 8634197645
Plan sponsor’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897

Plan administrator’s name and address
Administrator’s EIN 562358997
Plan administrator’s name MID-FLORIDA PSYCHIATRY CENTER, PL
Plan administrator’s address 2504 SAND MINE RD, DAVENPORT, FL, 33897
Administrator’s telephone number 8634197645

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing VIDYASAGAR VANGALA
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
VANGALA VIDYASAGAR R Managing Member 8235 CHAMPIONS GATE BLVD, DAVENPORT, FL, 33896
VANGALA VIDYASAGAR R Agent 11238 Macaw Court, Windermere, FL, 34786

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-09 8235 CHAMPIONS GATE BLVD., SUITE 5, DAVENPORT, FL 33896 -
CHANGE OF MAILING ADDRESS 2021-01-09 8235 CHAMPIONS GATE BLVD., SUITE 5, DAVENPORT, FL 33896 -
REGISTERED AGENT ADDRESS CHANGED 2021-01-09 11238 Macaw Court, Windermere, FL 34786 -

Documents

Name Date
ANNUAL REPORT 2025-01-10
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-01-09
ANNUAL REPORT 2020-01-12
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1314607103 2020-04-10 0455 PPP 2504 SAND MINE RD, DAVENPORT, FL, 33897-3402
Loan Status Date 2021-05-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64300
Loan Approval Amount (current) 69281.37
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address DAVENPORT, POLK, FL, 33897-3402
Project Congressional District FL-11
Number of Employees 6
NAICS code 623210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 69929.92
Forgiveness Paid Date 2021-04-08

Companies related by officers

VANGALA VIDYASAGAR R

TULASI LLC - Active
Florida Limited Liability Co. (2013 )

Companies related by address

No other companies in our directory share the same address as MID-FLORIDA PSYCHIATRY CENTER, PL

Date of last update: 03 Mar 2025

Sources: Florida Department of State

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