| Entity Name: | CYNERGY HEALTH, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Oct 2022 (2 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 22 Apr 2024 (10 months ago) |
| Document Number: | N22000012114 |
| FEI/EIN Number | 87-4228112 |
| Address: | 2155 Derwent Dr, Davenport, FL 33896 |
| Mail Address: | 2155 Derwent Dr, Davenport, FL 33896 |
| ZIP code: | 33896 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972251361 | 2022-03-15 | 2024-07-29 | 2155 DERWENT DR, DAVENPORT, FL, 338967142, US | 2155 DERWENT DR, DAVENPORT, FL, 338967142, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 863-585-8004 |
Authorized person
| Name | ZAKIYYAH EL-AMIN |
| Role | OWNER |
| Phone | 8635858004 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 347E00000X - Transportation Broker |
| Is Primary | No |
| Taxonomy Code | 385HR2055X - Child Mental Illness Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| EL-AMIN, ZAKIYYAH A | Agent | 2155 Derwent Dr, Davenport, FL 33896 |
| Name | Role | Address |
|---|---|---|
| EL-AMIN, ZAKIYYAH A | Chief Executive Officer | 2155 Derwent Dr, Davenport, FL 33896 |
| Name | Role | Address |
|---|---|---|
| Emilcar , Eddy T | Chief Operating Officer | 2155 Derwent Dr, Davenport, FL 33896 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000141740 | COMMUNITY CONNECT GROUP COURIER SERVICES | ACTIVE | 2022-11-14 | 2027-12-31 | No data | 3126 WOODHILL RD, WINTER HAVEN, FL, 33881 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2024-04-22 | CYNERGY HEALTH, INC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 2155 Derwent Dr, Davenport, FL 33896 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-01 | 2155 Derwent Dr, Davenport, FL 33896 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-01 | 2155 Derwent Dr, Davenport, FL 33896 | No data |
| Name | Date |
|---|---|
| Name Change | 2024-04-22 |
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-05-01 |
| Domestic Non-Profit | 2022-10-26 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
