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HOFFMAN ORTHODONTICS PA

Company Details

Entity Name: HOFFMAN ORTHODONTICS PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 May 2015 (10 years ago)
Document Number: P15000042949
FEI/EIN Number 47-3985712
Address: 1530 Business Center Drive, Fleming Island, FL, 32003, US
Mail Address: 1530 Business Center Dr, Fleming Island, FL, 32003, US
ZIP code: 32003
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124402912 2015-07-13 2015-07-13 1406 KINGSLEY AVE, STE B, ORANGE PARK, FL, 320734590, US 1406 KINGSLEY AVE, STE B, ORANGE PARK, FL, 320734590, US

Contacts

Phone +1 904-264-4519
Fax 9042644510

Authorized person

Name DEREK HOFFMAN
Role PRESIDENT
Phone 9042644519

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number 20979
State FL
Is Primary Yes

Agent

Name Role Address
HOFFMAN DEREK A Agent 101 NE 1ST AVE, OCALA, FL, 34470

President

Name Role Address
HOFFMAN DEREK A President 1530 Business Center Drive, Fleming Island, FL, 32003

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000054392 PEDEN & HOFFMAN ORTHODONTICS EXPIRED 2015-06-04 2020-12-31 No data 1406 KINGSLEY AVE, ORANGE PARK, FL, 32073

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-04-19 1530 Business Center Drive, #2, Fleming Island, FL 32003 No data
CHANGE OF MAILING ADDRESS 2020-04-19 1530 Business Center Drive, #2, Fleming Island, FL 32003 No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-10 101 NE 1ST AVE, OCALA, FL 34470 No data

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-02-10
ANNUAL REPORT 2022-02-13
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-04-19
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-02-18
Domestic Profit 2015-05-12

Date of last update: 03 Feb 2025

Sources: Florida Department of State