| Entity Name: | CYNTHIA POLLANS HARRIS, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Aug 1987 (37 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 03 Aug 1992 (33 years ago) |
| Document Number: | M57926 |
| FEI/EIN Number | 59-2838700 |
| Address: | 8030 PETERS RD STE D106, PLANTATION, FL 33324 |
| Mail Address: | 8030 PETERS RD STE D106, PLANTATION, FL 33324 |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124399142 | 2012-01-23 | 2012-01-23 | 8030 PETERS RD, SUITE D106, PLANTATION, FL, 333244038, US | 8030 PETERS RD, SUITE D106, PLANTATION, FL, 333244038, US | |||||||||||||||||||
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| Phone | +1 954-475-9503 |
| Fax | 9544762369 |
Authorized person
| Name | CYNTHIA POLLANS HARRIS |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 9544759503 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY0003936 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARRIS, CYNTHIA POLLANS | Agent | 8030 PETERS RD STE D106, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| HARRIS, CYNTHIA POLLANS | President | 8030 PETERS RD, STE D106, PLANTATION, FL |
| Name | Role | Address |
|---|---|---|
| HARRIS, CYNTHIA POLLANS | Secretary | 8030 PETERS RD, STE D106, PLANTATION, FL |
| Name | Role | Address |
|---|---|---|
| HARRIS, CYNTHIA POLLANS | Treasurer | 8030 PETERS RD, STE D106, PLANTATION, FL |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000012773 | KPK COUNSELING SERVICES | EXPIRED | 2011-02-02 | 2016-12-31 | No data | 8030 PETERS ROAD, SUITE D106, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 1992-08-03 | CYNTHIA POLLANS HARRIS, PH.D., P.A. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1990-07-12 | 8030 PETERS RD STE D106, PLANTATION, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 1990-07-12 | 8030 PETERS RD STE D106, PLANTATION, FL 33324 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1990-07-12 | 8030 PETERS RD STE D106, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-30 |
| ANNUAL REPORT | 2024-01-14 |
| ANNUAL REPORT | 2023-01-13 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-02-05 |
| ANNUAL REPORT | 2016-02-18 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
