| Entity Name: | VOGEL CHIROPRACTIC CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jan 2001 (24 years ago) |
| Document Number: | L01000001117 |
| FEI/EIN Number | 593700573 |
| Address: | 1780 S. NOVA ROAD, SUITE 4, S. DAYTONA, FL, 32119 |
| Mail Address: | 1780 S. NOVA ROAD, SUITE 4, S. DAYTONA, FL, 32119 |
| ZIP code: | 32119 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770571564 | 2005-10-06 | 2013-04-10 | 1780 S NOVA RD, STE 4, SOUTH DAYTONA, FL, 321191777, US | 1780 S NOVA RD, STE 4, SOUTH DAYTONA, FL, 321191777, US | |||||||||||||||||||||||||
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| Phone | +1 386-788-4778 |
| Fax | 3867888110 |
Authorized person
| Name | DR. TRUDI EWING VOGEL |
| Role | OWNER PROVIDER |
| Phone | 3867884778 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0006899 |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS/BLUE SHIELD |
| Number | 0018G |
| Issuer | MEDICARE RAILROAD |
| Number | 350055155 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VOGEL CHIROPRACTIC 401(K) PROFIT SHARING PLAN | 2009 | 593700573 | 2010-08-26 | VOGEL CHIROPRACTIC CLINIC, LLC | 4 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593700573 |
| Plan administrator’s name | VOGEL CHIROPRACTIC CLINIC, LLC |
| Plan administrator’s address | 1780 S NOVA RD STE 4, SOUTH DAYTONA, FL, 321191777 |
| Administrator’s telephone number | 3867884778 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-26 |
| Name of individual signing | TRUDI E VOGEL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-08-26 |
| Name of individual signing | TRUDI E VOGEL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 3867884778 |
| Plan sponsor’s address | 1780 S NOVA RD STE 4, SOUTH DAYTONA, FL, 321191777 |
Plan administrator’s name and address
| Administrator’s EIN | 593700573 |
| Plan administrator’s name | VOGEL CHIROPRACTIC CLINIC, LLC |
| Plan administrator’s address | 1780 S NOVA RD STE 4, SOUTH DAYTONA, FL, 321191777 |
| Administrator’s telephone number | 3867884778 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-26 |
| Name of individual signing | TRUDI E VOGEL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-08-26 |
| Name of individual signing | TRUDI E VOGEL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| VOGEL TRUDI E | Agent | 1780 S NOVA ROAD, S DAYTONA, FL, 32119 |
| Name | Role | Address |
|---|---|---|
| VOGEL TRUDI E | Managing Member | 1780 S NOVA RD; SUITE 4, S DAYTONA, FL, 32119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-28 | 1780 S. NOVA ROAD, SUITE 4, S. DAYTONA, FL 32119 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-28 | 1780 S. NOVA ROAD, SUITE 4, S. DAYTONA, FL 32119 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-28 | 1780 S NOVA ROAD, SUITE 4, S DAYTONA, FL 32119 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
