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ORLANDO ENDODONTIC SPECIALISTS, P.A.

Company Details

Entity Name: ORLANDO ENDODONTIC SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Apr 2004 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Jan 2020 (5 years ago)
Document Number: P04000058725
FEI/EIN Number 200956020
Address: 610 N MILLS AVE STE 210, ORLANDO, FL, 32803-7113, US
Mail Address: 610 N MILLS AVE STE 210, ORLANDO, FL, 32803-7113, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821264409 2008-05-05 2008-05-05 610 N MILLS AVE, STE 210, ORLANDO, FL, 328037119, US 610 N MILLS AVE, STE 210, ORLANDO, FL, 328037119, US

Contacts
Phone +1 407-423-7667

Authorized person
Name LAUREN LIPKIN
Role BUSINESS MGR
Phone 4074237667

Taxonomy
Taxonomy Code 1223E0200X - Endodontist
License Number DN 14384
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORLANDO ENDODONTIC SPECIALISTS P.A. 401(K) PSP 2011 200956020 2012-06-05 ORLANDO ENDODONTIC SPECIALISTS P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 4074237667
Plan sponsor’s address 610 NORTH MILLS AVE, SUITE 210, ORLANDO, FL, 32803

Plan administrator’s name and address
Administrator’s EIN 200956020
Plan administrator’s name ORLANDO ENDODONTIC SPECIALISTS P.A.
Plan administrator’s address 610 NORTH MILLS AVE, SUITE 210, ORLANDO, FL, 32803
Administrator’s telephone number 4074237667

Signature of
Role Plan administrator
Date 2012-06-05
Name of individual signing LAUREN KAPLUS
Valid signature Filed with authorized/valid electronic signature
ORLANDO ENDODONTIC SPECIALISTS P.A. 401(K) PSP 2010 200956020 2011-05-27 ORLANDO ENDODONTIC SPECIALISTS P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 4074237667
Plan sponsor’s address 610 NORTH MILLS AVE, SUITE 210, ORLANDO, FL, 32803

Plan administrator’s name and address
Administrator’s EIN 200956020
Plan administrator’s name ORLANDO ENDODONTIC SPECIALISTS P.A.
Plan administrator’s address 610 NORTH MILLS AVE, SUITE 210, ORLANDO, FL, 32803
Administrator’s telephone number 4074237667

Signature of
Role Plan administrator
Date 2011-05-27
Name of individual signing LAUREN KAPLUS
Valid signature Filed with authorized/valid electronic signature
ORLANDO ENDODONTIC SPECIALISTS P.A. 401(K) PSP 2009 200956020 2010-07-12 ORLANDO ENDODONTIC SPECIALISTS P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 4074237667
Plan sponsor’s address 610 NORTH MILLS AVE, SUITE 210, ORLANDO, FL, 32803

Plan administrator’s name and address
Administrator’s EIN 200956020
Plan administrator’s name ORLANDO ENDODONTIC SPECIALISTS P.A.
Plan administrator’s address 610 NORTH MILLS AVE, SUITE 210, ORLANDO, FL, 32803
Administrator’s telephone number 4074237667

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing SUSIE BOBO
Valid signature Filed with authorized/valid electronic signature
ORLANDO ENDODONTIC SPECIALISTS P.A. 401(K) PSP 2009 200956020 2010-07-12 ORLANDO ENDODONTIC SPECIALISTS P.A. 19
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 4074237667
Plan sponsor’s address 610 NORTH MILLS AVE, SUITE 210, ORLANDO, FL, 32803

Plan administrator’s name and address
Administrator’s EIN 200956020
Plan administrator’s name ORLANDO ENDODONTIC SPECIALISTS P.A.
Plan administrator’s address 610 NORTH MILLS AVE, SUITE 210, ORLANDO, FL, 32803
Administrator’s telephone number 4074237667

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing SUSIE BOBO
Valid signature Filed with incorrect/unrecognized electronic signature
ORLANDO ENDODONTIC SPECIALISTS P.A. 401(K) PSP 2009 200956020 2010-06-30 ORLANDO ENDODONTIC SPECIALISTS P.A. 19
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 4074237667
Plan sponsor’s address 610 NORTH MILLS AVE, SUITE 210, ORLANDO, FL, 32803

Plan administrator’s name and address
Administrator’s EIN 200956020
Plan administrator’s name ORLANDO ENDODONTIC SPECIALISTS P.A.
Plan administrator’s address 610 NORTH MILLS AVE, SUITE 210, ORLANDO, FL, 32803
Administrator’s telephone number 4074237667

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing SUSIE BOBO
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
Temple Claudia MGR Agent 610 N MILLS AVE STE 210, ORLANDO, FL, 328037113

President

Name Role Address
TEMPLE TIMOTHY President 610 N MILLS AVE STE 210, ORLANDO, FL, 328037113

Director

Name Role Address
TEMPLE TIMOTHY Director 610 N MILLS AVE STE 210, ORLANDO, FL, 328037113

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-06 Temple, Claudia, MGR No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-06 610 N MILLS AVE STE 210, ORLANDO, FL 32803-7113 No data
REINSTATEMENT 2020-01-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-04-15 610 N MILLS AVE STE 210, ORLANDO, FL 32803-7113 No data
CHANGE OF MAILING ADDRESS 2014-04-15 610 N MILLS AVE STE 210, ORLANDO, FL 32803-7113 No data
AMENDMENT 2009-10-01 No data No data
AMENDMENT 2009-09-30 No data No data
NAME CHANGE AMENDMENT 2008-02-01 ORLANDO ENDODONTIC SPECIALISTS, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-02-26
REINSTATEMENT 2020-01-29
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-03-19
ANNUAL REPORT 2014-04-15

Related by officers

TEMPLE TIMOTHY

ORLANDO ENDODONTIC SPECIALISTS - MANAGEMENT CORP.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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