| Entity Name: | ALTAMONTE FAMILY HEARING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Dec 2019 (5 years ago) |
| Document Number: | L19000305196 |
| FEI/EIN Number | 84-4068584 |
| Address: | 715 DOUGLAS AVE, 45, ALTAMONTE SPRINGS, FL, 32714, US |
| Mail Address: | 715 DOUGLAS AVE, 45, ALTAMONTE SPRINGS, FL, 32714, US |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215577069 | 2020-01-09 | 2020-01-09 | 715 DOUGLAS AVE STE 45, ALTAMONTE SPRINGS, FL, 327142576, US | 715 DOUGLAS AVE STE 45, ALTAMONTE SPRINGS, FL, 327142576, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 407-949-6737 |
Authorized person
| Name | JAYSEE A. SOTO |
| Role | OWNER |
| Phone | 3059673476 |
Taxonomy
| Taxonomy Code | 237700000X - Hearing Instrument Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022265000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SOTO JAYSEE A | Agent | 125 E ORANGE ST, ALTAMONTE SPRINGS, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| SOTO GRACE K | Authorized Representative | 125 E ORANGE ST, ALTAMONTE SPRINGS, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| Soto Jaysee A | President | 125 E Orange St, ALTAMONTE SPRINGS, FL, 32701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-24 | 715 DOUGLAS AVE, 45, ALTAMONTE SPRINGS, FL 32714 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-02-24 |
| Florida Limited Liability | 2019-12-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
