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EMBRACE HEALTH, INC

Company Details

Entity Name: EMBRACE HEALTH, INC
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 07 Jul 2021 (4 years ago)
Last Event: AMENDMENT
Event Date Filed: 27 Oct 2021 (3 years ago)
Document Number: N21000008194
FEI/EIN Number 87-1566827
Address: 6220 South Orange Blossom Trail STE 602, ORLANDO, FL 32809
Mail Address: 6220 South Orange Blossom Trail STE 602, ORLANDO, FL 32809
ZIP code: 32809
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427629476 2021-07-09 2024-02-06 6220 S ORANGE BLOSSOM TRL STE 602, ORLANDO, FL, 328094688, US 6220 S ORANGE BLOSSOM TRL STE 602, ORLANDO, FL, 328094688, US

Contacts

Phone +1 407-259-4307
Fax 7348003720

Authorized person

Name VICKIE LASHENA COBB-LUCIEN
Role CEO/PRESIDENT
Phone 4072594307

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
COBB-LUCIEN, VICKIE L Agent 6220 SOUTH ORANGE BLOSSOM TRAIL, SUITE 602, ORLANDO, FL 32809

PRESIDENT

Name Role Address
COBB-LUCIEN, VICKIE L PRESIDENT 6220 SOUTH ORANGE BLOSSOM TRAIL, STE 602 ORLANDO, FL 32809

Chief Executive Officer

Name Role Address
COBB-LUCIEN, VICKIE L Chief Executive Officer 6220 SOUTH ORANGE BLOSSOM TRAIL, STE 602 ORLANDO, FL 32809

Treasurer

Name Role Address
HILL, ROSA Treasurer 6220 SOUTH ORANGE BLOSSOM TRAIL, SUITE 602 ORLANDO, FL 32809

Secretary

Name Role Address
LUCIEN, BRITTANI A Secretary 6220 South Orange Blossom Trail STE 602, Suite 602 Orlando, FL 32809

Director

Name Role Address
GWYNN, LAMONTE Director 6220 SOUTH ORANGE BLOSSOM TRAIL, SUITE 602 ORLANDO, FL 32809
DAVIS, BARBARA Director 6220 SOUTH ORANGE BLOSSOM TRAIL, SUITE 602 ORLANDO, FL 32809
HOWARD, L. ANDRE Director 6220 SOUTH ORANGE BLOSSOM TRAIL, SUITE 602 ORLANDO, FL 32809

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-02-09 6220 SOUTH ORANGE BLOSSOM TRAIL, SUITE 602, ORLANDO, FL 32809 No data
CHANGE OF PRINCIPAL ADDRESS 2023-08-28 6220 South Orange Blossom Trail STE 602, ORLANDO, FL 32809 No data
CHANGE OF MAILING ADDRESS 2023-08-28 6220 South Orange Blossom Trail STE 602, ORLANDO, FL 32809 No data
AMENDMENT 2021-10-27 No data No data
AMENDMENT 2021-10-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-03-10
Amendment 2021-10-27
Amendment 2021-10-25
Domestic Non-Profit 2021-07-07

Date of last update: 14 Jan 2025

Sources: Florida Department of State