| Entity Name: | SYNERGY WELLNESS OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Mar 2022 (3 years ago) |
| Document Number: | P22000024536 |
| FEI/EIN Number | 88-1278971 |
| Mail Address: | 8129 NW 106TH LANE, PARKLAND, FL, 33076, US |
| Address: | 9050 Pines Blvd, Suite 305, Pembroke Pines, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912630112 | 2022-07-05 | 2023-10-19 | 8129 NW 106TH LN, PARKLAND, FL, 330764748, US | 9050 PINES BLVD STE 305, PEMBROKE PINES, FL, 330246422, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 630-205-4664 |
Authorized person
| Name | HAARIS ALI |
| Role | OWNER |
| Phone | 6302054664 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ALI HAARIS | Agent | 8129 NW 106TH LANE, PARKLAND, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| ALI HAARIS | President | 8129 NW 106TH LANE, PARKLAND, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| ALI HAARIS | Director | 8129 NW 106TH LANE, PARKLAND, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-07 | 9050 Pines Blvd, Suite 305, Pembroke Pines, FL 33024 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-07 |
| Domestic Profit | 2022-03-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
