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BAPTIST PHYSICIAN ENTERPRISE, LLC - Florida Company Profile

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Company Details

Entity Name: BAPTIST PHYSICIAN ENTERPRISE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 27 May 2009 (16 years ago)
Date of dissolution: 27 Sep 2013 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (12 years ago)
Document Number: L09000051222
FEI/EIN Number 270288317
Address: 1717 NORTH E STREET,, STE. 320, PENSACOLA, FL, 32501
Mail Address: 1717 NORTH E STREET,, STE. 320 - ATTN: MARY MATHEWS, PENSACOLA, FL, 32501
ZIP code: 32501
City: Pensacola
County: Escambia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VERMILLION KERRY W Manager 1717 NORTH E STREET, STE. 320, PENSACOLA, FL, 32501
SKOLROOD KENT Manager 1717 NORTH E STREET, STE. 320, PENSACOLA, FL, 32501
FAULKNER MARK T Manager 1717 NORTH E STREET, STE. 320, PENSACOLA, FL, 32501
CALLAHAN ELIZABETH Agent 1717 NORTH E STREET, PENSACOLA, FL, 32501

National Provider Identifier

NPI Number:
1477860245

Authorized Person:

Name:
KENT SKOLROOD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000085372 BAPTIST MEDICAL GROUP INTERNAL MEDICINE-GULF BREEZE EXPIRED 2011-08-29 2016-12-31 - 1717 NORTH E STREET, STE. 320, PENSACOLA, FL, 32501
G11000022081 BAPTIST MEDICAL GROUP FAMILY MEDICINE-WESTSIDE EXPIRED 2011-03-01 2016-12-31 - 6715 HIGHWAY 98 W, PENSACOLA, FL, 32506
G11000022080 BAPTIST MEDICAL GROUP FAMILY MEDICINE AND PEDIATRICS-SCENIC HIGHWAY EXPIRED 2011-03-01 2016-12-31 - 8105 SCENIC HIGHWAY, PENSACOLA, FL, 32514
G11000022083 BAPTIST MEDICAL GROUP FAMILY MEDICINE-NAVARRE EXPIRED 2011-03-01 2016-12-31 - 8990 NAVARRE PARKWAY SUITE A, NAVARRE, FL, 32566
G11000022086 BAPTIST MEDICAL GROUP FAMILY AND INTERNAL MEDICINE-NINE MILE EXPIRED 2011-03-01 2016-12-31 - 9400 UNIVERSITY PARKWAY SUITE 210, PENSACOLA, FL, 32514
G10000087940 BAPTIST MEDICAL GROUP - NORTH HILL INTERNAL MEDICINE EXPIRED 2010-09-24 2015-12-31 - 1717 NORTH E STREET, SUITE 320, PENSACOLA, FL, 32501
G10000087935 BAPTIST MEDICAL GROUP - RHEUMATOLOGY EXPIRED 2010-09-24 2015-12-31 - 1717 NORTH E STREET, SUITE 320, PENSACOLA, FL, 32501
G10000087929 BAPTIST MEDICAL GROUP - SPECIALISTS EXPIRED 2010-09-24 2015-12-31 - 1717 NORTH E STREET, SUITE 320, PENSACOLA, FL, 32501

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2012-04-26 1717 NORTH E STREET,, STE. 320, PENSACOLA, FL 32501 -
CHANGE OF MAILING ADDRESS 2012-04-26 1717 NORTH E STREET,, STE. 320, PENSACOLA, FL 32501 -
REGISTERED AGENT NAME CHANGED 2012-04-26 CALLAHAN, ELIZABETH -
REGISTERED AGENT ADDRESS CHANGED 2012-04-26 1717 NORTH E STREET, STE. 320, PENSACOLA, FL 32501 -

Documents

Name Date
ANNUAL REPORT 2012-04-26
ANNUAL REPORT 2011-04-12
ANNUAL REPORT 2010-08-04
Florida Limited Liability 2009-05-27

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Date of last update: 01 Aug 2025

Sources: Florida Department of State