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LYERLY BAPTIST, INC. - Florida Company Profile

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Company Details

Entity Name: LYERLY BAPTIST, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Sep 2005 (20 years ago)
Document Number: P05000133705
FEI/EIN Number 030571183
Mail Address: 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL, 32207, US
Address: 3563 PHILIPS HIGHWAY, BUILDING A, SUITE 101, JACKSONVILLE, FL, 32207, US
ZIP code: 32207
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ZUINO MATTHEW A Director 841 Prudential Dr., Jacksonville, FL, 32207
Baity G. S Agent 841 PRUDENTIAL DR., JACKSONVILLE, FL, 32207
Mayo Michael A Director 841 PRUDENTIAL DRIVE, SUITE 1601, JACKSONVILLE, FL, 32207
Mayo Michael A President 841 PRUDENTIAL DRIVE, SUITE 1601, JACKSONVILLE, FL, 32207
Groover Timothy MD Director 841 PRUDENTIAL DRIVE, SUITE 1601, JACKSONVILLE, FL, 32207
Baity G. S Secretary 841 Prudential Drive, Jacksonville, FL, 32207
Tickell Keith Vice President 841 Prudential Drive, Jacksonville, FL, 32207
FINNEGAN T S Treasurer 841 Prudential Dr., Jacksonville, FL, 32207

Unique Entity ID

CAGE Code:
7QNE3
UEI Expiration Date:
2018-10-18

Business Information

Activation Date:
2017-10-18
Initial Registration Date:
2016-09-29

Commercial and government entity program

CAGE number:
7QNE3
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2022-10-20
CAGE Expiration:
2022-10-19

Contact Information

POC:
JILL DEPAUW

National Provider Identifier

NPI Number:
1700775483
Certification Date:
2025-06-30

Authorized Person:

Name:
TYRONE MCCLOUD
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207QS0010X - Sports Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary:
Yes

Contacts:

Fax:
9043764075
Fax:
9043763062

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000119751 BAPTIST METABOLIC WEIGHT LOSS CLINIC ACTIVE 2024-09-24 2029-12-31 - 3563 PHILIPS HIGHWAY, BLDG A, STE 101, JACKSONVILLE, FL, 32207
G24000072456 BAPTIST ORTHOPEDICS ACTIVE 2024-06-11 2029-12-31 - 3563 PHILIPS HIGHWAY, BLDG A, STE 101, JACKSONVILLE, FL, 32207
G24000041674 BAPTIST MEDICAL GROUP ACTIVE 2024-03-25 2029-12-31 - 3563 PHILIPS HIGHWAY, BLDG A, STE 101, JACKSONVILLE, FL, 32207

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-04-30 Baity, G. Scott -
CHANGE OF PRINCIPAL ADDRESS 2010-04-30 3563 PHILIPS HIGHWAY, BUILDING A, SUITE 101, JACKSONVILLE, FL 32207 -
CHANGE OF MAILING ADDRESS 2010-04-30 3563 PHILIPS HIGHWAY, BUILDING A, SUITE 101, JACKSONVILLE, FL 32207 -
REGISTERED AGENT ADDRESS CHANGED 2009-11-06 841 PRUDENTIAL DR., SUITE 1802, JACKSONVILLE, FL 32207 -

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-04-25
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 2017-05-01
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-04-28

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Date of last update: 02 Aug 2025

Sources: Florida Department of State