| Entity Name: | EVOYENT HEALTH FOUNDATION INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 08 Dec 2017 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | N17000012152 |
| FEI/EIN Number | 82-3656433 |
| Address: | 1525 W Washington Road, Orlando, FL, 32805, US |
| Mail Address: | 8297 CHAMPIONSGATE BLVD, #446, CHAMPIONSGATE, FL, 33896 |
| ZIP code: | 32805 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003311267 | 2018-03-28 | 2018-03-28 | 8297 CHAMPIONS GATE BLVD # 446, CHAMPIONS GATE, FL, 338968387, US | 201 S ORANGE AVE STE 900, ORLANDO, FL, 328015008, US | |||||||||||||||||
|
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| Phone | +1 321-282-1999 |
Authorized person
| Name | MRS. SHANA FAIR |
| Role | PRESIDENT |
| Phone | 3212821999 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Fair Shana L | Agent | 8297 CHAMPIONSGATE BLVD, CHAMPIONSGATE, FL, 33896 |
| Name | Role | Address |
|---|---|---|
| MOODY Jeffery R | President | 8297 ChampionsGate Blvd, ChampionsGate, FL, 33896 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-04 | 1525 W Washington Road, Orlando, FL 32805 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-07-04 | Fair, Shana L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-07-04 |
| Domestic Non-Profit | 2017-12-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
