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EDX OF BREVARD, LLC

Company Details

Entity Name: EDX OF BREVARD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Feb 2019 (6 years ago)
Document Number: L19000045516
FEI/EIN Number 83-3690298
Address: 2955 Pineda Plaza Way, Melbourne, FL, 32940, US
Mail Address: 2955 Pineda Plaza Way, Melbourne, FL, 32940, US
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104445048 2020-04-10 2020-04-10 2955 PINEDA PLAZA WAY STE 104, MELBOURNE, FL, 329407306, US 2955 PINEDA PLAZA WAY STE 104, MELBOURNE, FL, 329407306, US

Contacts

Phone +1 321-213-8101
Fax 8442284426

Authorized person

Name DR. ROBERT VILLE
Role PRESIDENT/OWNER
Phone 3212138101

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDX OF BREVARD 401(K) PLAN 2023 833690298 2024-10-14 EDX OF BREVARD, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621310
Sponsor’s telephone number 3212138101
Plan sponsor’s address 2955 PINEDA PLAZA WAY, SUITE 104, MELBOURNE, FL, 32940

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing ROBERT VILLE
Valid signature Filed with authorized/valid electronic signature
EDX OF BREVARD 401(K) PLAN 2022 833690298 2023-09-30 EDX OF BREVARD, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621310
Sponsor’s telephone number 3212138101
Plan sponsor’s address 2955 PINEDA PLAZA WAY, SUITE 104, MELBOURNE, FL, 32940

Signature of

Role Plan administrator
Date 2023-09-30
Name of individual signing ROBERT VILLE
Valid signature Filed with authorized/valid electronic signature
EDX OF BREVARD 401(K) PLAN 2021 833690298 2022-06-15 EDX OF BREVARD, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621310
Sponsor’s telephone number 3212138101
Plan sponsor’s address 2955 PINEDA PLAZA WAY, SUITE 104, MELBOURNE, FL, 32940

Signature of

Role Plan administrator
Date 2022-06-15
Name of individual signing ROBERT VILLE
Valid signature Filed with authorized/valid electronic signature
EDX OF BREVARD 401(K) PLAN 2020 833690298 2021-10-14 EDX OF BREVARD, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621310
Sponsor’s telephone number 3212138101
Plan sponsor’s address 2955 PINEDA PLAZA WAY, SUITE 104, MELBOURNE, FL, 32940

Agent

Name Role Address
VILLE ROBERT A Agent 335 THYME STREET, SATELLITE BEACH, FL, 32937

President

Name Role Address
VILLE ROBERT A President 335 THYME STREET, SATELLITE BEACH, FL, 32937

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-14 2955 Pineda Plaza Way, 104, Melbourne, FL 32940 No data
CHANGE OF MAILING ADDRESS 2020-01-14 2955 Pineda Plaza Way, 104, Melbourne, FL 32940 No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-04
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-14
Florida Limited Liability 2019-02-14

Date of last update: 02 Feb 2025

Sources: Florida Department of State