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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
LEBEAU JACQUE PM.D. | Agent | 1020 NORTH PALAFOX STREET, PENSACOLA, FL, 32501 |
Name | Role | Address |
---|---|---|
Peters Julie MRN | Manager | 1020 NORTH PALAFOX STREET, PENSACOLA, FL, 32501 |
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