| Entity Name: | BAPTIST SPECIALTY PHYSICIANS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Sep 2019 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Jan 2021 (4 years ago) |
| Document Number: | N19000009680 |
| FEI/EIN Number | 86-1126946 |
| Address: | 3563 PHILIPS HWY. BLDG. A, STE. 101, JACKSONVILLE, FL 32207 |
| Mail Address: | 841 Prudential Drive, Suite 1802, JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BAITY, G. SCOTT, Esq. | Agent | 841 PRUDENTIAL DR., STE. 1802, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| Mayo, Michael A. | Director | 841 Prudential Drive, Suite 1601 Jacksonville, FL 32207 |
| Keith, Tickell | Director | 841 Prudential Drive, Suite 1602 Jacksonville, FL 32207 |
| ZUINO, MATTHEW A | Director | 841 Prudential Dr., Suite 1601 Jacksonville, FL 32207 |
| Name | Role | Address |
|---|---|---|
| Mayo, Michael A. | President | 841 Prudential Drive, Suite 1601 Jacksonville, FL 32207 |
| Name | Role | Address |
|---|---|---|
| GORAK, EDWARD, DO | Vice President | 841 Prudential Drive, Suite 1802 Jacksonville, FL 32207 |
| TONEY, RICK | Vice President | 3563 Philips Hwy, Building A Suite 101 Jacksonville, FL 32207 |
| Name | Role | Address |
|---|---|---|
| Keith, Tickell | Treasurer | 841 Prudential Drive, Suite 1602 Jacksonville, FL 32207 |
| Name | Role | Address |
|---|---|---|
| Baity, G. Scott | Secretary | 841 Prudential Drive, Suite 1802 Jacksonville, FL 32207 |
| Name | Role | Address |
|---|---|---|
| Finnegan, T. Scott | Asst. Treasurer | 841 Prudential Drive, Suite 1602 Jacksonville, FL 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-08 | 3563 PHILIPS HWY. BLDG. A, STE. 101, JACKSONVILLE, FL 32207 | No data |
| REINSTATEMENT | 2021-01-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-04 | BAITY, G. SCOTT, Esq. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CONVERSION | 2019-09-03 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P05000008746. CONVERSION NUMBER 100000196151 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| AMENDED ANNUAL REPORT | 2023-09-13 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-29 |
| AMENDED ANNUAL REPORT | 2021-06-08 |
| REINSTATEMENT | 2021-01-04 |
| Domestic Non-Profit | 2019-09-03 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
