| Entity Name: | AESCULAP MEDICAL CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Feb 2022 (3 years ago) |
| Document Number: | L22000086324 |
| FEI/EIN Number | 882489171 |
| Address: | 2101 NORTHSIDE DR. SUITE 601, PANAMA CITY, FL, 32405, US |
| Mail Address: | 2101 NORTHSIDE DR. SUITE 601, PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770201063 | 2022-08-22 | 2023-01-20 | 2101 NORTHSIDE DR UNIT 601, PANAMA CITY, FL, 324053687, US | 2101 NORTHSIDE DR UNIT 601, PANAMA CITY, FL, 324053687, US | |||||||||||||||||||
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| Phone | +1 850-215-5310 |
| Fax | 8502150159 |
Authorized person
| Name | KRZYSZTOF T LEWANDOWSKI |
| Role | OWNER |
| Phone | 8502155310 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LEWANDOWSKI KRZYSTOF T | Agent | 2101 NORTHSIDE DR. SUITE 601, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| LEWANDOWSKI KRZYSZTOF T | Manager | 2101 NORTHSIDE DR. SUITE 601, PANAMA CITY, FL, 32405 |
| LEWANDOWSKI BARBARA | Manager | 2101 NORTHSIDE DR. SUITE 601, PANAMA CITY, FL, 32405 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-06 |
| Florida Limited Liability | 2022-02-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
