| Entity Name: | GREGORY A. LAMBE, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Apr 1993 (32 years ago) |
| Document Number: | P93000024427 |
| FEI/EIN Number | 59-3180216 |
| Address: | 3894 HIGHWAY 90 WEST, NA, MARIANNA, FL 32446 |
| Mail Address: | 3894 HIGHWAY 90 WEST, NA, MARIANNA, FL 32446 |
| ZIP code: | 32446 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487900783 | 2012-07-24 | 2012-07-25 | 3894 HIGHWAY 90, MARIANNA, FL, 324468919, US | 3894 HIGHWAY 90, MARIANNA, FL, 324468919, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 850-482-2966 |
| Fax | 8505262994 |
Authorized person
| Name | DR. GREGORY A. LAMBE |
| Role | PRESIDENT |
| Phone | 8504822966 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | CH0004466 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PROVIDER # 88071 |
| Number | 88071 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAMBE, GREGORY A, DR | Agent | 3478 SPRING HOLLOW DR, NA, MARIANNA, FL 32448 |
| Name | Role | Address |
|---|---|---|
| LAMBE, GREGORY A | President | 3478 SPRING HOLLOW DR., MARIANNA, FL 32448 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2014-02-25 | LAMBE, GREGORY A, DR | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-24 | 3894 HIGHWAY 90 WEST, NA, MARIANNA, FL 32446 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-24 | 3894 HIGHWAY 90 WEST, NA, MARIANNA, FL 32446 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-24 | 3478 SPRING HOLLOW DR, NA, MARIANNA, FL 32448 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-02-07 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
