| Entity Name: | GREGORY LEBLEU MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jul 2017 (8 years ago) |
| Document Number: | P17000060834 |
| FEI/EIN Number | 74-2886634 |
| Address: | 8271 Gulf Blvd 701, Navarre, FL, 32566, US |
| Mail Address: | 8271 Gulf Blvd 701, Navarre, FL, 32566, US |
| ZIP code: | 32566 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225360530 | 2010-02-11 | 2017-05-09 | 5203 SOUNDSIDE DR, GULF BREEZE, FL, 325639314, US | 5203 SOUNDSIDE DR, GULF BREEZE, FL, 325639314, US | |||||||||||||||||
|
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| Phone | +1 530-308-3462 |
Authorized person
| Name | DR. GREGORY E LEBLEU |
| Role | PRESIDENT |
| Phone | 5303083462 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | C53588 |
| State | CA |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEBLEU GREGORY E | Agent | 8271 Gulf Blvd 701, Navarre, FL, 32566 |
| Name | Role | Address |
|---|---|---|
| LEBLEU GREGORY E | President | 8271 Gulf Blvd 701, Navarre, FL, 32566 |
| Name | Role | Address |
|---|---|---|
| LEBLEU SUZANNE | Secretary | 8271 Gulf Blvd 701, Navarre, FL, 32566 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2025-01-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-18 | 8271 Gulf Blvd 701, Navarre, FL 32566 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-18 | 8271 Gulf Blvd 701, Navarre, FL 32566 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-18 | 8271 Gulf Blvd 701, Navarre, FL 32566 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-07 |
| ANNUAL REPORT | 2019-01-03 |
| ANNUAL REPORT | 2018-06-19 |
| Domestic Profit | 2017-07-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
