| Entity Name: | BAYA CLINICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L21000422345 |
| FEI/EIN Number | 87-2852680 |
| Address: | 780 SE BAYA DRIVE, LAKE CITY, FL 32025 |
| Mail Address: | 780 SE BAYA DRIVE, LAKE CITY, FL 32025 |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598412744 | 2022-03-08 | 2023-11-15 | 780 SE BAYA DR, LAKE CITY, FL, 320255403, US | 780 SE BAYA DR, LAKE CITY, FL, 320255403, US | |||||||||||||
|
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| Phone | +1 386-755-6677 |
Authorized person
| Name | ASHLEY (AJ) S WARD |
| Role | MANAGER |
| Phone | 3862885067 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GREEN, BONNIE S | Agent | 1241 S. MARION AVENUE, LAKE CITY, FL 32025 |
| Name | Role | Address |
|---|---|---|
| ALLISON, CARL L | Manager | 780 SE BAYA DRIVE, LAKE CITY, FL 32025 |
| ALLISON, JOAN M | Manager | 780 SE BAYA DRIVE, LAKE CITY, FL 32025 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-05 |
| Florida Limited Liability | 2021-09-24 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
