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EMBRACE MENTAL HEALTH LLC

Company Details

Entity Name: EMBRACE MENTAL HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Jun 2024 (8 months ago)
Document Number: L24000251293
FEI/EIN Number 993306070
Address: 7800 NW 74th Terrace, Tamarac, FL, 33321, US
Mail Address: 7800 NW 74th Terrace, Tamarac, FL, 33321, US
ZIP code: 33321
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467295253 2024-06-18 2024-06-18 200 S ANDREWS AVE STE 504, FORT LAUDERDALE, FL, 333012066, US 200 S ANDREWS AVE STE 504, FORT LAUDERDALE, FL, 333012066, US

Authorized person

Name VERLANDE DORILAS
Role CEO
Phone 9545600653

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
DORILAS VERLANDE Agent 7800 NW 74TH TERRACE, TAMARAC, FL, 33321

Chief Executive Officer

Name Role Address
DORILAS VERLANDE Chief Executive Officer 7800 NW 74TH TERRACE, TAMARAC, FL, 33321

Manager

Name Role Address
DULCIO VENIRA Manager 7800 NW 74TH TERRACE, TAMARAC, FL, 33321
DORILAS CLIFFORD Manager 7800 NW 74TH TERRACE, TAMARAC, FL, 33321
DORILAS NAIKA Manager 7800 NW 74TH TERRACE, TAMARAC, FL, 33321
DORILAS HULL Manager 7800 NW 74TH TERRACE, TAMARAC, FL, 33321

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-11-13 7800 NW 74th Terrace, Tamarac, FL 33321 No data
CHANGE OF MAILING ADDRESS 2024-11-13 7800 NW 74th Terrace, Tamarac, FL 33321 No data

Documents

Name Date
Florida Limited Liability 2024-06-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State