| Entity Name: | DYNAMIC PAIN AND WELLNESS PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Oct 2017 (7 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L17000221675 |
| FEI/EIN Number | 823210778 |
| Address: | 930 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547, US |
| Mail Address: | 930 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547, US |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700398070 | 2017-10-26 | 2017-10-26 | 930 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706, US | 930 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706, US | |||||||||||||||
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| Phone | +1 850-226-6801 |
| Fax | 8774135104 |
Authorized person
| Name | MATHEW MCCUNE |
| Role | CEO |
| Phone | 8502266801 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCCUNE MATHEW T | Agent | 287 KETCH COURT, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| MCCUNE MATHEW T | Chief Executive Officer | 930 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-10-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
