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  5. BAYVIEW OB/GYN, P.A.

BAYVIEW OB/GYN, P.A.

Company Details

Entity Name: BAYVIEW OB/GYN, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Apr 2001 (24 years ago)
Document Number: P01000038339
FEI/EIN Number 593719439
Address: 700 CENTRAL AVE, SUITE 400, ST PETERSBURG, FL, 33701, US
Mail Address: 700 CENTRAL AVE, SUITE 400, ST PETERSBURG, FL, 33701, US
ZIP code: 33701
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063441152 2006-07-01 2009-02-13 700 CENTRAL AVE, SUITE 400, ST PETERSBURG, FL, 337013631, US 700 CENTRAL AVE, SUITE 400, ST PETERSBURG, FL, 337013631, US

Contacts
Phone +1 727-895-1300

Authorized person
Name THOMAS M. MCNEILL JR.
Role PRESIDENT
Phone 7278951300

Taxonomy
Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAYVIEW OB/GYN 401(K) PROFIT SHARING PLAN 2011 593719439 2014-03-21 BAYVIEW OB/GYN, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7278951300
Plan sponsor’s address 700 CENTRAL AVE STE 400, SAINT PETERSBURG, FL, 337013600

Plan administrator’s name and address
Administrator’s EIN 593719439
Plan administrator’s name BAYVIEW OB/GYN, P.A.
Plan administrator’s address 700 CENTRAL AVE STE 400, SAINT PETERSBURG, FL, 337013600
Administrator’s telephone number 7278951300

Signature of
Role Plan administrator
Date 2014-03-21
Name of individual signing THOMAS MCNEILL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-21
Name of individual signing THOMAS MCNEILL
Valid signature Filed with authorized/valid electronic signature
BAYVIEW OB/GYN 401(K) PROFIT SHARING PLAN 2009 593719439 2010-10-12 BAYVIEW OB/GYN, P.A. 11
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7278951300
Plan sponsor’s address 700 CENTRAL AVE STE 400, SAINT PETERSBURG, FL, 337013600

Plan administrator’s name and address
Administrator’s EIN 593719439
Plan administrator’s name BAYVIEW OB/GYN, P.A.
Plan administrator’s address 700 CENTRAL AVE STE 400, SAINT PETERSBURG, FL, 337013600
Administrator’s telephone number 7278951300

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing CORINNE ODONNELL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing CORINNE ODONNELL
Valid signature Filed with incorrect/unrecognized electronic signature
BAYVIEW OB/GYN 401(K) PROFIT SHARING PLAN 2009 593719439 2010-10-15 BAYVIEW OB/GYN, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7278951300
Plan sponsor’s address 700 CENTRAL AVE STE 400, SAINT PETERSBURG, FL, 337013600

Plan administrator’s name and address
Administrator’s EIN 593719439
Plan administrator’s name BAYVIEW OB/GYN, P.A.
Plan administrator’s address 700 CENTRAL AVE STE 400, SAINT PETERSBURG, FL, 337013600
Administrator’s telephone number 7278951300

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing CORINNE ODONNELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing CORINNE ODONNELL
Valid signature Filed with authorized/valid electronic signature
BAYVIEW OB/GYN 401(K) PROFIT SHARING PLAN 2009 593719439 2010-10-01 BAYVIEW OB/GYN, P.A. 11
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7278951300
Plan sponsor’s address 700 CENTRAL AVE STE 400, SAINT PETERSBURG, FL, 337013600

Plan administrator’s name and address
Administrator’s EIN 593719439
Plan administrator’s name BAYVIEW OB/GYN, P.A.
Plan administrator’s address 700 CENTRAL AVE STE 400, SAINT PETERSBURG, FL, 337013600
Administrator’s telephone number 7278951300

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing THOMAS M MCNEILL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-01
Name of individual signing THOMAS M MCNEILL
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
MCNEILL THOMAS M Agent 700 CENTRAL AVE, ST PETERSBURG, FL, 33701

President

Name Role Address
MCNEILL THOMAS M President 700 CENTRAL AVE, SUITE 400, ST PETERSBURG, FL, 33701

Vice President

Name Role Address
REYES CARLOS E Vice President 700 CENTRAL AVE, SUITE 400, ST PETERSBURG, FL, 33701

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
CANCEL ADM DISS/REV 2003-10-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 No data No data
NAME CHANGE AMENDMENT 2001-05-18 BAYVIEW OB/GYN, P.A. No data

Related by officers

REYES CARLOS E

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Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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