| Entity Name: | VITAL MINDS PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Jun 2020 (5 years ago) |
| Document Number: | L20000162915 |
| FEI/EIN Number | 85-1505003 |
| Address: | 5840 Red Bug Lake Road, # 1602, WINTER SPRINGS, FL 32708 |
| Mail Address: | 5840 red bug lake road #1602, WINTER SPRINGS, FL 32708 |
| ZIP code: | 32708 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972258218 | 2022-02-15 | 2022-02-15 | 863 BIG BUCK CIR, WINTER SPRINGS, FL, 327085127, US | 863 BIG BUCK CIRCLE, WINTER SPRINGS, FL, 32708, US | |||||||||||||
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| Phone | +1 407-221-3678 |
Authorized person
| Name | MS. TELIYA ZYAMBO |
| Role | OWNER/NURSE PRACTITIONER |
| Phone | 4072213678 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZYAMBO, TELIYA | Agent | 863 BIG BUCK CIRCLE, WINTER SPRINGS, FL 32708 |
| Name | Role | Address |
|---|---|---|
| ZYAMBO, TELIYA | Manager | 863 BIG BUCK CIRCLE, WINTER SPRINGS, FL 32708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-10 | 5840 Red Bug Lake Road, # 1602, WINTER SPRINGS, FL 32708 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-10 | 5840 Red Bug Lake Road, # 1602, WINTER SPRINGS, FL 32708 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-01-19 |
| Florida Limited Liability | 2020-06-12 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
