| Entity Name: | SARDONYX GROUP THERAPY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 May 2017 (8 years ago) |
| Document Number: | P17000042719 |
| FEI/EIN Number | 82-1492116 |
| Address: | 922 SW 69th Ave, North Lauderdale, FL, 33068, US |
| Mail Address: | 922 SW 69th Ave, North Lauderdale, FL, 33068, US |
| ZIP code: | 33068 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477089274 | 2017-05-11 | 2021-05-06 | 4320 W BROWARD BLVD STE 4, PLANTATION, FL, 333173756, US | 4320 W BROWARD BLVD STE 4, PLANTATION, FL, 333173756, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-266-9013 |
| Fax | 7862575686 |
| Fax | 8559412537 |
Authorized person
| Name | SHAVONNE KRISTINE BROWN-O'MEALLY |
| Role | PRESIDENT |
| Phone | 9542669013 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 023552400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 016647600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROWN-O'Meally SHAVONNE | Agent | 922 SW 69th Ave, North Lauderdale, FL, 33068 |
| Name | Role | Address |
|---|---|---|
| BROWN-O'MEALLY SHAVONNE | President | 922 SW 69th Ave, North Lauderdale, FL, 33068 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000001446 | CHILDREN'S WORLD THERAPY | ACTIVE | 2023-01-04 | 2028-12-31 | No data | 4320 W. BROWARD BLVD, STE #4, PLANTATION, FL, 33068 |
| G17000134663 | CHILDREN'S WORLD THERAPY | ACTIVE | 2017-12-08 | 2028-12-31 | No data | 4320 W. BROWARD BLVD, STE# 4, PLANTATION, FL, 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 922 SW 69th Ave, North Lauderdale, FL 33068 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 922 SW 69th Ave, North Lauderdale, FL 33068 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-24 | 922 SW 69th Ave, North Lauderdale, FL 33068 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-23 | BROWN-O'Meally, SHAVONNE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-03-27 |
| ANNUAL REPORT | 2019-02-25 |
| Reg. Agent Change | 2018-08-23 |
| ANNUAL REPORT | 2018-03-23 |
| Domestic Profit | 2017-05-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
