| Entity Name: | BAPTIST MEDICAL GROUP - OBGYN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Aug 2010 (14 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L10000081597 |
| FEI/EIN Number | 273238217 |
| Address: | 1717 NORTH E STREET, SUITE 320, PENSACOLA, FL, 32501 |
| Mail Address: | 1717 NORTH E STREET, SUITE 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245547470 | 2010-09-09 | 2010-10-13 | 1717 N E ST, SUITE 334, PENSACOLA, FL, 325016339, US | 3417 N 12TH AVE, PENSACOLA, FL, 325034008, US | |||||||||||||
|
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| Phone | +1 850-437-8604 |
Authorized person
| Name | KENT SKOLROOD |
| Role | PRESIDENT |
| Phone | 8504692334 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CALLAHAN ELIZABETH | Agent | 1717 NORTH E ST., PENSACOLA, FL, 32501 |
| Name | Role | Address |
|---|---|---|
| SKOLROOD KENT D | Manager | 1717 NORTH E ST., STE. 320, PENSACOLA, FL, 32501 |
| FAULKNER MARK T | Manager | 1717 NORTH E ST., STE. 320, PENSACOLA, FL, 32501 |
| VERMILLION KERRY W | Manager | 1717 NORTH E ST., STE. 320, PENSACOLA, FL, 32501 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000087104 | BAPTIST MEDICAL GROUP, LADIES FIRST | EXPIRED | 2010-09-22 | 2015-12-31 | No data | 1717 NORTH E STREET, SUITE 320, PENSACOLA, FL, 32501 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-26 | CALLAHAN, ELIZABETH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-26 | 1717 NORTH E ST., STE. 320, PENSACOLA, FL 32501 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-13 | 1717 NORTH E STREET, SUITE 320, PENSACOLA, FL 32501 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-26 |
| ANNUAL REPORT | 2011-04-13 |
| Florida Limited Liability | 2010-08-03 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
