Search icon

SYNERGY WELLNESS CENTERS CORP.

Company Details

Entity Name: SYNERGY WELLNESS CENTERS CORP.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Mar 2019 (6 years ago)
Document Number: P19000027158
FEI/EIN Number 83-4369185
Address: 17340 N.W 27TH AVE, MIAMI GARDENS, FL, 33056, US
Mail Address: 17340 N.W 27TH AVE, MIAMI GARDENS, FL, 33056, US
ZIP code: 33056
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164057907 2020-03-11 2023-10-05 17340 NW 27TH AVE, MIAMI GARDENS, FL, 330564065, US 17340 NW 27TH AVE, MIAMI GARDENS, FL, 330564065, US

Contacts

Phone +1 786-953-6414
Phone +1 786-255-0613

Authorized person

Name ERICKA P CARDOSO
Role CEO
Phone 7862550613

Taxonomy

Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary Yes
Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No
Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary No
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
Is Primary No

Other Provider Identifiers

Issuer ACHA
Number 12796
State FL
Issuer DCF IOP
Number 1047931
State FL
Issuer DCF OP
Number 1047932
State FL
Issuer MEDICAID
Number 105810500
State FL

Agent

Name Role Address
CARDOSO ERICKA P Agent 17340 N.W 27TH AVE, MIAMI GARDENS, FL, 33056

President

Name Role Address
CARDOSO ERICKA P President 17340 N.W 27TH AVE, MIAMI GARDENS, FL, 33056

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000111875 RENACER CBI ACTIVE 2021-08-30 2026-12-31 No data 3778 W 12 AVENUE, HIALEAH, FL, 33012

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-04-29 17340 N.W 27TH AVE, MIAMI GARDENS, FL 33056 No data
CHANGE OF PRINCIPAL ADDRESS 2022-09-28 17340 N.W 27TH AVE, MIAMI GARDENS, FL 33056 No data
CHANGE OF MAILING ADDRESS 2022-09-28 17340 N.W 27TH AVE, MIAMI GARDENS, FL 33056 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-03-11
Domestic Profit 2019-03-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State