| Entity Name: | SYNERGISTIQ INTEGRATIVE HEALTH, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jun 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 17 Oct 2019 (5 years ago) |
| Document Number: | P15000051403 |
| FEI/EIN Number | 47-4298738 |
| Address: | 3165 N. MCMULLEN BOOTH RD., D-2, CLEARWATER, FL, 33761 |
| Mail Address: | 3165 N. MCMULLEN BOOTH RD., D-2, CLEARWATER, FL, 33761, UN |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215304613 | 2015-09-01 | 2020-04-23 | 3165 N MCMULLEN BOOTH RD STE D-2, CLEARWATER, FL, 337612020, US | 3165 N MCMULLEN BOOTH RD, SUITE D-2, CLEARWATER, FL, 337612032, US | |||||||||||||||||
|
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| Phone | +1 727-754-2936 |
Authorized person
| Name | DR. DEEPA VERMA |
| Role | PHYSICIAN/OWNER |
| Phone | 7277547936 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME95465 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Verma Deepa Dr. | Agent | 2555 Bryan Lane, Tarpon Springs, FL, 34688 |
| Name | Role | Address |
|---|---|---|
| VERMA DEEPA Dr. | Director | 3165 N. MCMULLEN BOOTH RD. D-2, CLEARWATER, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| VERMA DEEPA Dr. | President | 3165 N. MCMULLEN BOOTH RD. D-2, CLEARWATER, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| VERMA DEEPA Dr. | Secretary | 3165 N. MCMULLEN BOOTH RD. D-2, CLEARWATER, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| VERMA DEEPA Dr. | Treasurer | 3165 N. MCMULLEN BOOTH RD. D-2, CLEARWATER, FL, 33761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-23 | Verma, Deepa, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-23 | 2555 Bryan Lane, Tarpon Springs, FL 34688 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-16 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-02-20 |
| REINSTATEMENT | 2019-10-17 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-04-20 |
| Domestic Profit | 2015-06-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
