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LEBEAU CLINIC, PL

Company Details

Entity Name: LEBEAU CLINIC, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Mar 2013 (12 years ago)
Document Number: L13000042074
FEI/EIN Number 46-2337922
Address: 1020 NORTH PALAFOX STREET, PENSACOLA, FL, 32501
Mail Address: 1020 NORTH PALAFOX STREET, PENSACOLA, FL, 32501
ZIP code: 32501
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699113605 2013-06-12 2013-06-12 1020 N PALAFOX ST, PENSACOLA, FL, 325013118, US 1020 N PALAFOX ST, PENSACOLA, FL, 325013118, US

Contacts

Phone +1 850-308-1738
Fax 8503085420

Authorized person

Name JACQUE P. LEBEAU
Role FACIAL PLASTIC SURGEON/OWNER
Phone 8503081738

Taxonomy

Taxonomy Code 207YS0123X - Facial Plastic Surgery Physician
License Number ME105524
State FL
Is Primary Yes

Agent

Name Role Address
LEBEAU JACQUE PM.D. Agent 1020 NORTH PALAFOX STREET, PENSACOLA, FL, 32501

Manager

Name Role Address
Peters Julie MRN Manager 1020 NORTH PALAFOX STREET, PENSACOLA, FL, 32501

Documents

Name Date
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-07-15
ANNUAL REPORT 2021-02-14
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-03-19

Date of last update: 02 Feb 2025

Sources: Florida Department of State