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KATHLEEN LEBER, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: KATHLEEN LEBER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Jan 2006 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 18 May 2011 (14 years ago)
Document Number: P06000004269
FEI/EIN Number 204098396
Address: 2912 SANTIAGO ST., TAMPA, FL, 33629, US
Mail Address: 2912 SANTIAGO ST., TAMPA, FL, 33629, US
ZIP code: 33629
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LEBER KATHLEEN M Director 2919 SANTIAGO ST., TAMPA, FL, 33629
HOLCOMB JOHN L. Agent 101 E. KENNEDY BLVD., STE. 3700, TAMPA, FL, 33602

National Provider Identifier

NPI Number:
1336105758

Authorized Person:

Name:
DR. KATHLEEN LEBER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
8133500703

Form 5500 Series

Employer Identification Number (EIN):
204098396
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-23 6534 BAYSHORE BLVD, TAMPA, FL 33611 -
CHANGE OF MAILING ADDRESS 2022-02-23 6534 BAYSHORE BLVD, TAMPA, FL 33611 -
REINSTATEMENT 2011-05-18 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-03-15
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-05-13
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-01-02
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-06
ANNUAL REPORT 2015-01-07

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
8000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
51437.00
Total Face Value Of Loan:
51437.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$51,437
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$51,437
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$51,949.96
Servicing Lender:
The Bank of Tampa
Use of Proceeds:
Payroll: $51,437

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Date of last update: 03 Aug 2025

Sources: Florida Department of State