| Entity Name: | AIOSA AND HOFFMAN ORTHODONTICS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Nov 2019 (5 years ago) |
| Document Number: | L19000289627 |
| FEI/EIN Number | 84-3926553 |
| Address: | 1530 BUSINESS CENTER DRIVE, SUITE 2, FLEMING ISLAND, FL, 32003 |
| Mail Address: | 1530 BUSINESS CENTER DRIVE, SUITE 2, FLEMING ISLAND, FL, 32003 |
| ZIP code: | 32003 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225677925 | 2019-12-27 | 2019-12-27 | 1530 BUSINESS CENTER DR STE 2, FLEMING ISLAND, FL, 320039027, US | 1530 BUSINESS CENTER DR STE 2, FLEMING ISLAND, FL, 320039027, US | |||||||||||||||||||||||||||
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| Phone | +1 904-215-0980 |
| Fax | 9042150952 |
Authorized person
| Name | DR. LORI AIOSA |
| Role | PARTNER |
| Phone | 9042150980 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NATIONAL PROVIDER REGISTRY |
| Number | 1770847873 |
| State | FL |
| Issuer | NATIONAL PROVIDER REGISTRY |
| Number | 1679640858 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AIOSA LORI A | Agent | 1530 BUSINESS CENTER DRIVE, FLEMING ISLAND, FL, 32003 |
| Name | Role |
|---|---|
| LORI ANDERSON AIOSA, D.M.D., M.S., P.A. | Authorized Member |
| HOFFMAN ORTHODONTICS PA | Authorized Member |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-02-13 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-03-18 |
| Florida Limited Liability | 2019-11-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
