| Entity Name: | TRUDY MOON EISEL, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 May 2004 (21 years ago) |
| Document Number: | P04000075458 |
| FEI/EIN Number | 201104757 |
| Address: | 1190 PINE RIDGE ROAD, SUITE1, NAPLES, FL, 34108 |
| Mail Address: | 1190 PINE RIDGE ROAD, SUITE1, NAPLES, FL, 34108 |
| ZIP code: | 34108 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841421013 | 2009-08-05 | 2016-11-28 | 1190 PINE RIDGE RD, SUITE 1, NAPLES, FL, 341088914, US | 1190 PINE RIDGE RD, SUITE 1, NAPLES, FL, 341088914, US | |||||||||||||||||||||
|
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| Phone | +1 239-261-1387 |
| Fax | 2392638780 |
Authorized person
| Name | TRUDY EISEL |
| Role | PRESIDENT |
| Phone | 2392611387 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | CN164A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOON EISEL TRUDY D | Agent | 1190 PINE RIDGE ROAD, NAPLES, FL, 34108 |
| Name | Role | Address |
|---|---|---|
| MOON EISEL TRUDY D | President | 1190 PINE RIDGE ROAD SUITE 1, NAPLES, FL, 34108 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-03-27 | MOON EISEL , TRUDY DR. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-21 | 1190 PINE RIDGE ROAD, SUITE1, NAPLES, FL 34108 | No data |
| CHANGE OF MAILING ADDRESS | 2008-03-21 | 1190 PINE RIDGE ROAD, SUITE1, NAPLES, FL 34108 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-03-21 | 1190 PINE RIDGE ROAD, SUITE 1, NAPLES, FL 34108 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-01 |
| ANNUAL REPORT | 2022-01-07 |
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-10 |
| ANNUAL REPORT | 2015-04-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
