| Entity Name: | DRVN PHYSICAL THERAPY & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jan 2021 (4 years ago) |
| Document Number: | L21000051093 |
| FEI/EIN Number | 86-2042651 |
| Address: | 19 HUNT MASTER COURT, ORMOND BEACH, FL, 32174, US |
| Mail Address: | 19 HUNT MASTER COURT, ORMOND BEACH, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457946980 | 2021-03-06 | 2021-03-06 | 19 HUNT MASTER CT, ORMOND BEACH, FL, 321742442, US | 19 HUNT MASTER CT, ORMOND BEACH, FL, 321742442, US | |||||||||||||
|
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| Phone | +1 386-315-2672 |
Authorized person
| Name | DR. CRAIG ALLEN MUCHOW |
| Role | OWNER / MANAGING MEMBER |
| Phone | 3863152672 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUCHOW CRAIG A | Agent | 19 HUNT MASTER COURT, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| MUCHOW CRAIG A | Chief Executive Officer | 19 HUNT MASTER COURT, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| BUTZ RYAN H | President | 202 Osprey Circle, Hypoluxo, FL, 33462 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-03-11 | MUCHOW, CRAIG A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-03-11 |
| Florida Limited Liability | 2021-01-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
