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NORTH CENTRAL FLORIDA ENDODONTICS PLLC

Company Details

Entity Name: NORTH CENTRAL FLORIDA ENDODONTICS PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Sep 2019 (5 years ago)
Document Number: L19000234218
FEI/EIN Number 84-3077313
Mail Address: 3736 NW 129TH DR, GAINESVILLE, FL, 32606
Address: 4881 NW 8th Ave, Gainesville, FL, 32605, US
ZIP code: 32605
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093456493 2022-04-07 2022-04-07 1905 NW 13TH ST STE 2, GAINESVILLE, FL, 326093414, US 1905 NW 13TH ST STE 2, GAINESVILLE, FL, 326093414, US

Contacts

Phone +1 352-375-7776
Fax 3523751039

Authorized person

Name LISA THOMAS
Role INSURANCE COORDINATOR
Phone 3523757776

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NCFE RETIREMENT PLAN 2022 843077313 2023-09-15 NORTH CENTRAL FLORIDA ENDODONTICS PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3523757776
Plan sponsor’s address 1905 NW 13TH ST., SUITE 2, GAINESVILLE, FL, 32609
NCFE RETIREMENT PLAN 2021 843077313 2022-10-03 NORTH CENTRAL FLORIDA ENDODONTICS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3523757776
Plan sponsor’s address 1905 NW 13TH ST., SUITE 2, GAINESVILLE, FL, 32609

Agent

Name Role Address
NATERA MARIANELLA Agent 3736 NW 129TH DR, GAINESVILLE,, FL, 32606

President

Name Role Address
NATERA MARIANELLA President 3736 NW 129TH DR, GAINESVILLE, FL, 32606

Manager

Name Role Address
Deppe Luis Manager 4881 NW 8th Ave, Gainesville, FL, 32605

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-31 4881 NW 8th Ave, Suite 3, Gainesville, FL 32605 No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-06-10
Florida Limited Liability 2019-09-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State