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AESCULAP MEDICAL CLINIC LLC - Florida Company Profile

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Company Details

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
City: Panama City
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

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
LEWANDOWSKI KRZYSTOF T Agent 2101 NORTHSIDE DR. SUITE 601, PANAMA CITY, FL, 32405

National Provider Identifier

NPI Number:
1770201063
Certification Date:
2023-01-20

Authorized Person:

Name:
KRZYSZTOF T LEWANDOWSKI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8502150159

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-03-06
Florida Limited Liability 2022-02-15

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Date of last update: 02 Jul 2025

Sources: Florida Department of State