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  5. NORTH TRAIL CHIROPRACTIC CLINIC, INC.

NORTH TRAIL CHIROPRACTIC CLINIC, INC.

Company Details

Entity Name: NORTH TRAIL CHIROPRACTIC CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 09 Dec 1996 (28 years ago)
Document Number: P96000099821
FEI/EIN Number 59-3413870
Address: 4530 TAMIAMI TRAIL N, SUITE 2, NAPLES, FL 34103
Mail Address: 4530 TAMIAMI TRAIL N, SUITE 2, NAPLES, FL 34103
ZIP code: 34103
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306052634 2007-05-15 2007-09-21 4530 TAMIAMI TRL N, SUITE 2, NAPLES, FL, 341033011, US 4530 TAMIAMI TRL N, SUITE 2, NAPLES, FL, 341033011, US

Contacts
Phone +1 239-261-5222
Fax 2392615222

Authorized person
Name DR. DAVID ALAN DISHAUZI
Role PRESIDENT
Phone 2392615222

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number CH7182
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH TRAIL CHIROPRACTIC CLINIC, INC. 2013 593413870 2014-08-26 NORTH TRAIL CHIROPRACTIC CLINIC, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621310
Sponsor’s telephone number 2392615222
Plan sponsor’s address 4530 TAMIAMI TRAIL, STE. 2, NAPLES, FL, 34103

Signature of
Role Plan administrator
Date 2014-08-26
Name of individual signing DAVID DISHAUZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-26
Name of individual signing DAVID DISHAUZI
Valid signature Filed with authorized/valid electronic signature
NORTH TRAIL CHIROPRACTIC CLINIC, INC. 2012 593413870 2013-03-07 NORTH TRAIL CHIROPRACTIC CLINIC, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621310
Sponsor’s telephone number 2392615222
Plan sponsor’s address 4530 TAMIAMI TRAIL, STE. 2, NAPLES, FL, 34103

Signature of
Role Plan administrator
Date 2013-03-07
Name of individual signing DAVID DISHAUZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-07
Name of individual signing DAVID DISHAUZI
Valid signature Filed with authorized/valid electronic signature
NORTH TRAIL CHIROPRACTIC CLINIC, INC. 2011 593413870 2012-03-14 NORTH TRAIL CHIROPRACTIC CLINIC, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621310
Sponsor’s telephone number 2392615222
Plan sponsor’s address 4530 TAMIAMI TRAIL, STE. 2, NAPLES, FL, 34103

Plan administrator’s name and address
Administrator’s EIN 593413870
Plan administrator’s name NORTH TRAIL CHIROPRACTIC CLINIC, INC.
Plan administrator’s address 4530 TAMIAMI TRAIL, STE. 2, NAPLES, FL, 34103
Administrator’s telephone number 2392615222

Signature of
Role Plan administrator
Date 2012-03-12
Name of individual signing DAVID DISHAUZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-12
Name of individual signing DAVID DISHAUZI
Valid signature Filed with authorized/valid electronic signature
NORTH TRAIL CHIROPRACTIC CLINIC, INC. 2010 593413870 2011-04-29 NORTH TRAIL CHIROPRACTIC CLINIC, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621310
Sponsor’s telephone number 2392615222
Plan sponsor’s address 4530 TAMIAMI TRAIL, STE. 2, NAPLES, FL, 34103

Plan administrator’s name and address
Administrator’s EIN 593413870
Plan administrator’s name NORTH TRAIL CHIROPRACTIC CLINIC, INC.
Plan administrator’s address 4530 TAMIAMI TRAIL, STE. 2, NAPLES, FL, 34103
Administrator’s telephone number 2392615222

Signature of
Role Plan administrator
Date 2011-04-29
Name of individual signing DAVID DISHAUZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-29
Name of individual signing DAVID DISHAUZI
Valid signature Filed with authorized/valid electronic signature
NORTH TRAIL CHIROPRACTIC CLINIC, INC. 2009 593413870 2010-07-27 NORTH TRAIL CHIROPRACTIC CLINIC, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621310
Sponsor’s telephone number 2392615222
Plan sponsor’s address 4530 TAMIAMI TRAIL, STE. 2, NAPLES, FL, 34103

Plan administrator’s name and address
Administrator’s EIN 593413870
Plan administrator’s name NORTH TRAIL CHIROPRACTIC CLINIC, INC.
Plan administrator’s address 4530 TAMIAMI TRAIL, STE. 2, NAPLES, FL, 34103
Administrator’s telephone number 2392615222

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing DAVID DISHAUZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-26
Name of individual signing DAVID DISHAUZI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DISHAUZI, DAVID A, Dr. Agent 4530 TAMIAMI TRAIL N, SUITE 2, NAPLES, FL 34103

DR.

Name Role Address
DISHAUZI, DAVID A DR. 4530 TAMIAMI TRAIL N, SUITE 2, NAPLES, FL 34103

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-04-22 DISHAUZI, DAVID A, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-01-07
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-04-09
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-04-22

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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