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SUNERGY PHYSICIANS LLC

Company Details

Entity Name: SUNERGY PHYSICIANS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 06 Nov 2020 (4 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 22 Oct 2024 (3 months ago)
Document Number: L20000353458
FEI/EIN Number 85-3957957
Address: 5260 78TH AVE N # 2616, PINELLAS PARK, FL 33780
Mail Address: 5260 78TH AVE N # 2616, PINELLAS PARK, FL 33780
ZIP code: 33780
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386247658 2020-11-19 2021-03-11 5260 78TH AVE N UNIT 2616, PINELLAS PARK, FL, 337808106, US 4820 5TH AVE N, ST PETERSBURG, FL, 337137218, US

Contacts

Phone +1 727-280-5767
Fax 7272805767

Authorized person

Name DR. SWETABEN PATIDAR
Role MEMBER
Phone 6093508949

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
PATEL, RISHI Agent 5260 78TH AVE N # 2616, PINELLAS PARK, FL 33780

Authorized Member

Name Role Address
PATEL, RISHI Authorized Member 5260 78TH AVE N # 2616, PINELLAS PARK, FL 33780
PATIDAR, SWETABEN Authorized Member 5260 78TH AVE N # 2616, PINELLAS PARK, FL 33780

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000112519 SUNERGY WELLNESS CLINIC ACTIVE 2021-08-31 2026-12-31 No data 5260 78TH AVE NORTH, UNIT 2616, PINELLAS PARK, FL, 33780

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-10-22 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
REINSTATEMENT 2023-02-24 No data No data
REGISTERED AGENT NAME CHANGED 2023-02-24 PATEL, RISHI No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
REINSTATEMENT 2024-10-22
REINSTATEMENT 2023-02-24
ANNUAL REPORT 2021-02-14
Florida Limited Liability 2020-11-06

Date of last update: 15 Jan 2025

Sources: Florida Department of State