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  5. FLORIDA ENDOCRINOLOGY & DIABETES CENTER, LLC

FLORIDA ENDOCRINOLOGY & DIABETES CENTER, LLC

Company Details

Entity Name: FLORIDA ENDOCRINOLOGY & DIABETES CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Mar 2013 (12 years ago)
Document Number: L13000038721
FEI/EIN Number 46-2301084
Address: 6229 66th st N, PINELLAS PARK, FL, 33781, US
Mail Address: 2314 Messenger Circle, Safety Harbor, FL, 34695, US
ZIP code: 33781
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790123271 2013-06-06 2016-02-16 2763 1ST AVE N, ST PETERSBURG, FL, 337138723, US 2763 1ST AVE N, ST PETERSBURG, FL, 337138723, US

Contacts
Phone +1 727-623-9913
Fax 7278034852

Authorized person
Name DR. VENKATA G BUDHARAJU
Role OWNER
Phone 7276239913

Taxonomy
Taxonomy Code 207RE0101X - Endocrinology, Diabetes & Metabolism Physician
License Number ME108425
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 008900700
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA ENDOCRINOLOGY & DIABETES CENTER RETIREMENT PLAN 2019 462301084 2020-06-25 FLORIDA ENDOCRINOLOGY & DIABETES CENTER, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7276239913
Plan sponsor’s address 2314 MESSENGER CIRCLE, SAFETY HARBOR, FL, 34695
FLORIDA ENDOCRINOLOGY & DIABETES CENTER RETIREMENT PLAN 2018 462301084 2019-09-24 FLORIDA ENDOCRINOLOGY & DIABETES CENTER, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7276239913
Plan sponsor’s address 2314 MESSENGER CIRCLE, SAFETY HARBOR, FL, 34695
FLORIDA ENDOCRINOLOGY & DIABETES CENTER RETIREMENT PLAN 2017 462301084 2018-08-29 FLORIDA ENDOCRINOLOGY & DIABETES CENTER, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7276239913
Plan sponsor’s address 2314 MESSENGER CIRCLE, SAFETY HARBOR, FL, 34695
FLORIDA ENDOCRINOLOGY & DIABETES CENTER RETIREMENT PLAN 2016 462301084 2017-10-13 FLORIDA ENDOCRINOLOGY & DIABETES CENTER, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7276239913
Plan sponsor’s address 2314 MESSENGER CIRCLE, SAFETY HARBOR, FL, 34695
FLORIDA ENDOCRINOLOGY & DIABETES CENTER RETIREMENT PLAN 2015 462301084 2016-10-07 FLORIDA ENDOCRINOLOGY & DIABETES CENTER, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7276239913
Plan sponsor’s address 2314 MESSENGER CIRCLE, SAFETY HARBOR, FL, 34695
FLORIDA ENDOCRINOLOGY & DIABETES CENTER RETIREMENT PLAN 2014 462301084 2015-06-19 FLORIDA ENDOCRINOLOGY & DIABETES CENTER, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7276239913
Plan sponsor’s address 2314 MESSENGER CIRCLE, SAFETY HARBOR, FL, 34695

Agent

Name Role
TK REGISTERED AGENT, INC. Agent

Manager

Name Role Address
BUDHARAJU VENKATA MD Manager 2314 Messenger Circle, Safety Harbor, FL, 34695

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-02-23 6229 66th st N, PINELLAS PARK, FL 33781 No data
CHANGE OF MAILING ADDRESS 2014-02-08 6229 66th st N, PINELLAS PARK, FL 33781 No data

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-02-11
ANNUAL REPORT 2021-03-28
ANNUAL REPORT 2020-04-09
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-02-23
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-03-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7650977203 2020-04-28 0455 PPP 6229 66TH STREET N, PINELLAS PARK, FL, 33781
Loan Status Date 2021-06-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 69410
Loan Approval Amount (current) 71400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123499
Servicing Lender Name BayFirst National Bank
Servicing Lender Address 700 Central Avenue, Saint Petersburg, FL, 33701
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address PINELLAS PARK, PINELLAS, FL, 33781-0001
Project Congressional District FL-13
Number of Employees 8
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 123499
Originating Lender Name BayFirst National Bank
Originating Lender Address Saint Petersburg, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 72133.56
Forgiveness Paid Date 2021-05-18

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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