| Entity Name: | BAPTIST SPECIALTY PHYSICIANS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Jan 2005 (20 years ago) |
| Date of dissolution: | 03 Sep 2019 (5 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 03 Sep 2019 (5 years ago) |
| Document Number: | P05000008746 |
| FEI/EIN Number | 86-1126946 |
| Mail Address: | 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL 32207 |
| Address: | 3563 PHILIPS HIGHWAY, BUILDING A, SUITE 101, JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Baity, G. Scott | Agent | 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| Tickell, Keith | 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 |
|---|---|---|
| Mayo, Michael A. | Director | 841 PRUDENTIAL DRIVE, SUITE 1601, JACKSONVILLE, FL 32207 |
| Tickell, Keith | Director | 841 PRUDENTIAL DRIVE, SUITE 1602, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| Mayo, Michael A. | President | 841 PRUDENTIAL DRIVE, SUITE 1601, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| Groover, MD, Timothy | Vice President | 841 PRUDENTIAL DRIVE, SUITE 1601, JACKSONVILLE, FL 32207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000063255 | WOLFSON CHILDREN'S SPECIALTY SERVICES | ACTIVE | 2018-05-29 | 2028-12-31 | No data | 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2019-09-03 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS N19000009680. CONVERSION NUMBER 100000196151 |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | Baity, G. Scott | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-30 | 3563 PHILIPS HIGHWAY, BUILDING A, SUITE 101, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-30 | 3563 PHILIPS HIGHWAY, BUILDING A, SUITE 101, JACKSONVILLE, FL 32207 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-30 | 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL 32207 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-30 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
