| Entity Name: | BAPTIST CARDIOLOGY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Oct 2011 (13 years ago) |
| Document Number: | P11000089559 |
| FEI/EIN Number | 352429650 |
| Mail Address: | 841 Prudential Drive, Suite 1802, JACKSONVILLE, FL, 32207, US |
| Address: | 820 Prudential Drive, 1st Floor, JACKSONVILLE, FL, 32207, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457938623 | 2021-03-25 | 2021-03-25 | PO BOX 43667, JACKSONVILLE, FL, 322033667, US | 400 COLONNADE DR STE 230, PONTE VEDRA, FL, 320816235, US | |||||||||||||||||||||||||
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| Phone | +1 904-720-0599 |
| Fax | 9043764036 |
| Fax | 9047205225 |
Authorized person
| Name | TYRONE STEWART |
| Role | ADMINISTRATOR |
| Phone | 9044254625 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RC0001X - Clinical Cardiac Electrophysiology Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Baity G. S | Agent | 841 PRUDENTIAL DR SUITE 1802, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Baity G. S | Secretary | 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Mayo Michael A | President | 841 Prudential Drive, Jacksonville, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Thomas Nicole | Vice President | 841 Prudential Drive, Jacksonville, FL, 32207 |
| Groover Timothy | Vice President | 841 Prudential Drive, Suite 1601, Jacksonville, FL, 32207 |
| GORAK EDWARD SDO | Vice President | 841 Prudential Dr, Jacksonville, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Tickell Keith | Treasurer | 841 Prudential Drive, Jacksonville, FL, 32207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000100237 | JACKSONVILLE SLEEP CENTER | ACTIVE | 2024-08-22 | 2029-12-31 | No data | 6930 BONNEVAL RD. #2, JACKSONVILLE, FL, 32216 |
| G24000041678 | BAPTIST MEDICAL GROUP | ACTIVE | 2024-03-25 | 2029-12-31 | No data | 820 PRUDENTIAL DR., 1ST FLOOR, JACKSONVILLE, FL, 32207 |
| G20000024467 | BAPTIST SLEEP MEDICINE | ACTIVE | 2020-02-25 | 2025-12-31 | No data | 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL, 32207--837 |
| G12000042211 | JACKSONVILLE HEART RESEARCH CENTER | ACTIVE | 2012-05-04 | 2028-12-31 | No data | 3563 PHILIPS HIGHWAY, SUITE 101, JACKSONVILLE, FL, 32207 |
| G12000033053 | BAPTIST HEART SPECIALISTS | ACTIVE | 2012-04-05 | 2028-12-31 | No data | 3563 PHILIPS HIGHWAY, SUITE 101, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-16 | 820 Prudential Drive, 1st Floor, JACKSONVILLE, FL 32207 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | Baity, G. Scott | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-29 | 820 Prudential Drive, 1st Floor, JACKSONVILLE, FL 32207 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-13 |
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
