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SOUTHERN BAPTIST HOSPITAL - Florida Company Profile

Company Details

Entity Name: SOUTHERN BAPTIST HOSPITAL
Jurisdiction: FLORIDA
Filing Type: Foreign Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 18 Jul 1953 (72 years ago)
Date of dissolution: 21 Oct 1974 (51 years ago)
Last Event: DISSOLVED BY PROCLAMATION
Event Date Filed: 21 Oct 1974 (51 years ago)
Document Number: 809419
FEI/EIN Number 000000000

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 800 PRUDENTIAL DR., JACKSONVILLE FLA, 32207
Mail Address: 800 PRUDENTIAL DR., JACKSONVILLE FLA, 32207
ZIP code: 32207
County: Duval
Place of Formation: LOUISIANA

Key Officers & Management

Name Role Address
CAMP, GERALD Secretary 7224 LORAIN, JACKSONVILLE, FL
LIPSCOMB, CLYDE B. President 4344 LANDOVER DR., JACKSONVILLE, FL
GOODING, MARION W. Vice President 4105 SAN JOSE BLVD., JACKSONVILLE, FL
SANDLER, LLC Director -
PRICE, ZINN O Director 12570 MANDARIN RD., JACKSONVILLE, FL
HARDEN, M.C. Director P. O. BOX 3214, JACKSONVILLE, FL
FAY, LAWRENCE D. Agent JACKSONVILLE, FL, 32202

National Provider Identifier

NPI Number:
1861693632

Authorized Person:

Name:
DR. ELLEN WILLIAMS
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103TC1900X - Counseling Psychologist
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No

Contacts:

Fax:
9047339598

Events

Event Type Filed Date Value Description
DISSOLVED BY PROCLAMATION 1974-10-21 - -

Date of last update: 03 Jun 2025

Sources: Florida Department of State