| Entity Name: | BAPTIST PULMONARY SPECIALISTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BAPTIST PULMONARY SPECIALISTS, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 12 Feb 2009 (16 years ago) |
| Document Number: | P09000014133 |
| FEI/EIN Number |
800351279
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689817405 | 2009-04-09 | 2021-03-03 | PO BOX 2462, SALT LAKE CITY, UT, 841102462, US | 1660 PRUDENTIAL DR STE 320, JACKSONVILLE, FL, 322078197, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-202-1032 |
| Fax | 9043764107 |
| Phone | +1 904-376-3707 |
| Fax | 9043915001 |
Authorized person
| Name | CATHERINE HOLLOWAY |
| Role | DIRECTOR |
| Phone | 9042025378 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RS0010X - Sports Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE GROUP PTAN |
| Number | BY513A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Groover, MD Timothy | Director | 841 PRUDENTIAL DRIVE, SUITE 1601, JACKSONVILLE, FL, 32207 |
| Baity G. S | Secretary | 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL, 32207 |
| Tickell Keith | Vice President | 841 Prudential Drive, Jacksonville, FL, 32207 |
| MAYO MICHAEL A | President | 841 Prudential Dr., Jacksonville, FL, 32207 |
| ZUINO MATTHEW A | Director | 841 Prudential Dr., Jacksonville, FL, 32207 |
| GORAK EDWARD DO | Vice President | 841 Prudential Dr., Jacksonville, FL, 32207 |
| Baity G. S | Agent | 841 PRUDENTIAL DR., SUITE 1802, JACKSONVILLE, FL, 32207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000041698 | BAPTIST MEDICAL GROUP | ACTIVE | 2024-03-25 | 2029-12-31 | - | 3563 PHILIPS HIGHWAY, BLDG A, STE 101, JACKSONVILLE, FL, 32207 |
| G24000034140 | BAPTIST PULMONARY | ACTIVE | 2024-03-06 | 2029-12-31 | - | 3563 PHILIPS HIGHWAY, BUILDING A, SUITE 101, JACKSONVILLE, FL, 32207 |
| 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 | - |
| 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 | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
