| Entity Name: | RICK BAXLEY, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Apr 2000 (25 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P00000042002 |
| FEI/EIN Number | 593641712 |
| Address: | 2629 EDGEWATER DR, ORLANDO, FL, 32804 |
| Mail Address: | 2629 EDGEWATER DR, ORLANDO, FL, 32804 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942384771 | 2006-10-25 | 2014-12-02 | 2629 EDGEWATER DR, ORLANDO, FL, 328044459, US | 2629 EDGEWATER DR, ORLANDO, FL, 328044459, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 407-246-7001 |
| Fax | 4072467009 |
Authorized person
| Name | MS. KONNIE KAY COHRS |
| Role | OFFICE MANAGER |
| Phone | 4072467001 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME 48761 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAXLEY RICK M | Agent | 2629 EDGEWATER DRIVE, ORLANDO, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| COHRS KONNIE | Manager | 2629 EDGEWATER DRIVE, ORLANDO, FL, 32804 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08137700063 | THE BAXLEY CENTER FOR EXECUTIVE HEALTH ASSESSMENT | EXPIRED | 2008-05-16 | 2013-12-31 | No data | 2629 EDGEWATER DRIVE, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-24 | 2629 EDGEWATER DRIVE, ORLANDO, FL 32804 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-07-21 | 2629 EDGEWATER DR, ORLANDO, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 2005-07-21 | 2629 EDGEWATER DR, ORLANDO, FL 32804 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-02-24 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-06-11 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-04-19 |
| ANNUAL REPORT | 2009-04-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
