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ROBERT W. TRAVEN, D.C., P.A.

Company Details

Entity Name: ROBERT W. TRAVEN, D.C., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Oct 1988 (36 years ago)
Document Number: K37232
FEI/EIN Number 592901340
Address: 950 N COURTENAY PKWY, SUITE 11, MERRITT ISLAND, FL, 32953, US
Mail Address: PO BOX 540610, MERRITT ISLAND, FL, 32954, US
ZIP code: 32953
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780017772 2013-08-14 2013-08-14 PO BOX 540610, MERRITT ISLAND, FL, 329540610, US 950 N COURTENAY PKWY, SUITE 11, MERRITT ISLAND, FL, 329534501, US

Contacts

Phone +1 321-453-6126
Fax 3214538250

Authorized person

Name DR. ROBERT WALTER TRAVEN
Role PRESIDENT
Phone 3214536126

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH5729
State FL
Is Primary Yes

Agent

Name Role Address
TRAVEN ROBERT W Agent 3661 Longbow Road, Cocoa, FL, 32926

Director

Name Role Address
TRAVEN ROBERT W Director 3661 Longbow Road, Cocoa, FL, 32926

President

Name Role Address
TRAVEN ROBERT W President 3661 Longbow Road, Cocoa, FL, 32926

Secretary

Name Role Address
TRAVEN ROBERT W Secretary 3661 Longbow Road, Cocoa, FL, 32926

Treasurer

Name Role Address
TRAVEN ROBERT W Treasurer 3661 Longbow Road, Cocoa, FL, 32926

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REINSTATEMENT 2010-09-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Date of last update: 01 Feb 2025

Sources: Florida Department of State