| Entity Name: | ARTHRITIS SPECIALISTS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 May 1989 (36 years ago) |
| Date of dissolution: | 20 Mar 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Mar 2023 (2 years ago) |
| Document Number: | K91810 |
| FEI/EIN Number | 65-0127265 |
| Address: | 9549 Prosecco St, Boynton Beach, FL 33473 |
| Mail Address: | 9549 Prosecco St, Boynton Beach, FL 33473 |
| ZIP code: | 33473 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528259603 | 2007-08-05 | 2018-06-11 | 3100 CORAL HILLS DR STE 302, CORAL SPRINGS, FL, 330654138, US | 9750 NW 33RD ST STE 204, CORAL SPRINGS, FL, 33065, US | |||||||||||||||||||
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| Phone | +1 954-341-5034 |
| Fax | 9543419190 |
Authorized person
| Name | DR. BARRY KEITH WATERS |
| Role | PRESIDENT |
| Phone | 9543415034 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0047508 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARTHRITIS SPECIALISTS PA 401(K) PROFIT SHARING PLAN & TRUST | 2015 | 650127265 | 2018-01-16 | ARTHRITIS SPECIALISTS PA | 7 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-01-16 |
| Name of individual signing | BARRY WATERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9543415034 |
| Plan sponsor’s address | 3100 CORAL HILLS DR STE 302, CORAL SPRINGS, FL, 330654138 |
Signature of
| Role | Plan administrator |
| Date | 2015-06-15 |
| Name of individual signing | BARRY K WATERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9543415034 |
| Plan sponsor’s address | 3100 CORAL HILLS DR STE 302, CORAL SPRINGS, FL, 330654138 |
Signature of
| Role | Plan administrator |
| Date | 2014-06-01 |
| Name of individual signing | BARRY K WATERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9543415034 |
| Plan sponsor’s address | 3100 CORAL HILLS DR STE 302, CORAL SPRINGS, FL, 330654138 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-05 |
| Name of individual signing | ARTHRITIS SPECIALISTS PA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9543415034 |
| Plan sponsor’s address | 3100 CORAL HILLS DR STE 302, CORAL SPRINGS, FL, 330654138 |
Plan administrator’s name and address
| Administrator’s EIN | 650127265 |
| Plan administrator’s name | ARTHRITIS SPECIALISTS PA |
| Plan administrator’s address | 3100 CORAL HILLS DR STE 302, CORAL SPRINGS, FL, 330654138 |
| Administrator’s telephone number | 9543415034 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-05 |
| Name of individual signing | ARTHRITIS SPECIALISTS PA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WATERS, BARRY KMD | Agent | 9549 Prosecco St, Boynton Beach, FL 33473 |
| Name | Role | Address |
|---|---|---|
| WATERS, BARRY | President | 9549 Prosecco St, Boynton Beach, FL 33473 |
| Name | Role | Address |
|---|---|---|
| WATERS, BARRY | Vice President | 9549 Prosecco St, Boynton Beach, FL 33473 |
| Name | Role | Address |
|---|---|---|
| WATERS, BARRY | Treasurer | 9549 Prosecco St, Boynton Beach, FL 33473 |
| Name | Role | Address |
|---|---|---|
| WATERS, BARRY | Secretary | 9549 Prosecco St, Boynton Beach, FL 33473 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-20 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-07-26 | 9549 Prosecco St, Boynton Beach, FL 33473 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-26 | 9549 Prosecco St, Boynton Beach, FL 33473 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-11 | 9549 Prosecco St, Boynton Beach, FL 33473 | No data |
| AMENDMENT | 2007-04-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-02-06 | WATERS, BARRY KMD | No data |
| AMENDMENT | 2006-01-23 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2002-09-09 | ARTHRITIS SPECIALISTS, PA | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-20 |
| ANNUAL REPORT | 2022-01-26 |
| AMENDED ANNUAL REPORT | 2021-07-26 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-02-07 |
| AMENDED ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
