| Entity Name: | DYNAMIC CHIRO AND PT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Oct 2023 (a year ago) |
| Document Number: | L23000495894 |
| Address: | 210 SOUTH MAIN STREET, CRESTVIEW, FL 32536 |
| Mail Address: | 210 SOUTH MAIN STREET, CRESTVIEW, FL 32536 |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144098724 | 2023-12-13 | 2024-09-09 | 5111 N 12TH AVE, PENSACOLA, FL, 325048918, US | 5111 N 12TH AVE, PENSACOLA, FL, 325048918, US | |||||||||||||||||||
|
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| Phone | +1 850-741-3310 |
| Fax | 8337404325 |
Authorized person
| Name | MATHEW MCCUNE |
| Role | CEO |
| Phone | 8507413310 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Name | Role |
|---|---|
| ZENBUSINESS INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MCCUNE, MATHEW | Authorized Member | 210 SOUTH MAIN STREET, CRESTVIEW, FL 32536 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2023-10-31 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
