| Entity Name: | BAPTIST PHYSICIAN ENTERPRISE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BAPTIST PHYSICIAN ENTERPRISE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 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
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477860245 | 2010-09-01 | 2011-05-09 | 1717 N E ST, SUITE 227, PENSACOLA, FL, 325016339, US | 1717 N E ST, SUITE 227, PENSACOLA, FL, 325016339, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 850-437-8604 |
Authorized person
| Name | KENT SKOLROOD |
| Role | PRESIDENT |
| Phone | 8504692334 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002797300 |
| State | FL |
| 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 |
| 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 |
| 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 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-26 |
| ANNUAL REPORT | 2011-04-12 |
| ANNUAL REPORT | 2010-08-04 |
| Florida Limited Liability | 2009-05-27 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
