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ENDODONTIC SPECIALTY SERVICES, LLC - Florida Company Profile

Company Details

Entity Name: ENDODONTIC SPECIALTY SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ENDODONTIC SPECIALTY SERVICES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 07 Dec 2009 (15 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: L09000116049
FEI/EIN Number 900531488

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 7800 S.W. 87TH AVENUE, SUITE A-150, MIAMI, FL, 33173
Mail Address: 7800 S.W. 87TH AVENUE, SUITE A-150, MIAMI, FL, 33173
ZIP code: 33173
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912237538 2010-01-04 2013-05-14 7800 SW 87TH AVE, SUITE A-150, MIAMI, FL, 331733570, US 7800 SW 87TH AVE, SUITE A-150, MIAMI, FL, 331733570, US

Contacts

Phone +1 305-598-6200
Fax 3055988253

Authorized person

Name DR. SETH SHAPIRO
Role MANAGING MEMBER
Phone 3055986200

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
License Number DN 6454
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RETIREMENT INCOME SECURITY PLAN-ENDODONTIC SPECIALTY SERVICES 2023 474939455 2024-08-02 ENDODONTIC SPECIALTY SERVICES 5
Three-digit plan number (PN) 001
Effective date of plan 2022-02-01
Business code 621210
Sponsor’s telephone number 3055986200
Plan sponsor’s address 7800 SW 87TH AVE, SUITE A-150, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of

Role Plan administrator
Date 2024-08-02
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature
RETIREMENT INCOME SECURITY PLAN-ENDODONTIC SPECIALTY SERVICES 2023 474939455 2024-08-20 ENDODONTIC SPECIALTY SERVICES 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-02-01
Business code 621210
Sponsor’s telephone number 3055986200
Plan sponsor’s address 7800 SW 87TH AVE, SUITE A-150, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of

Role Plan administrator
Date 2024-08-20
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature
RETIREMENT INCOME SECURITY PLAN-ENDODONTIC SPECIALTY SERVICES 2022 474939455 2023-07-24 ENDODONTIC SPECIALTY SERVICES 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-02-01
Business code 621210
Sponsor’s telephone number 3055986200
Plan sponsor’s address 7800 SW 87TH AVE, SUITE A-150, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of

Role Plan administrator
Date 2023-07-24
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Edwin E. Fabrega, DDS,PA Member 7800 S.W. 87TH AVENUE, MIAMI, FL, 33173
FILINGS, INC. Agent -

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2010-03-08 7800 S.W. 87TH AVENUE, SUITE A-150, MIAMI, FL 33173 -
CHANGE OF MAILING ADDRESS 2010-03-08 7800 S.W. 87TH AVENUE, SUITE A-150, MIAMI, FL 33173 -

Documents

Name Date
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-26
ANNUAL REPORT 2016-02-29
ANNUAL REPORT 2015-02-24
ANNUAL REPORT 2014-03-11
ANNUAL REPORT 2013-02-12
ANNUAL REPORT 2012-01-19
ANNUAL REPORT 2011-03-28
ANNUAL REPORT 2010-03-08

Date of last update: 03 Mar 2025

Sources: Florida Department of State