Search icon

BAPTIST AGEWELL PHYSICIANS, INC. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: BAPTIST AGEWELL PHYSICIANS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BAPTIST AGEWELL PHYSICIANS, 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: 07 Mar 2012 (13 years ago)
Document Number: P12000022837
FEI/EIN Number 38-3870378

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 841 Prudential Drive, Suite 1802, JACKSONVILLE, FL, 32207, US
Mail Address: 841 Prudential Drive, Suite 1802, JACKSONVILLE, FL, 32207, US
ZIP code: 32207
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Mayo Michael A President 841 Prudential Drive, Jacksonville, FL, 32207
Baity G. S Secretary 841 Prudential Drive, Jacksonville, FL, 32207
ZUINO MATTHEW A Vice President 841 Prudential Dr, Jacksonville, FL, 32207
Tickell Keith Vice President 841 Prudential Drive, Jacksonville, FL, 32207
GORAK EDWARD DO Vice President 841 Prudential Dr., Jacksonville, FL, 32207
FINNEGAN T A Treasurer 841 Prudential Dr., Jacksonville, FL, 32207
Baity G. Scott Agent 841 PRUDENTIAL DR, SUITE 1802, JACKSONVILLE, FL, 32207

National Provider Identifier

NPI Number:
1124788146
Certification Date:
2021-12-20

Authorized Person:

Name:
GAYLE BLACKMER
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
9043764107
Fax:
9042024639

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000041693 BAPTIST MEDICAL GROUP ACTIVE 2024-03-25 2029-12-31 - 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL, 32207
G24000034142 BAPTIST AGEWELL ACTIVE 2024-03-06 2029-12-31 - 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL, 32207

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-30 841 Prudential Drive, Suite 1802, JACKSONVILLE, FL 32207 -
REGISTERED AGENT NAME CHANGED 2019-04-30 Baity, G. Scott -
CHANGE OF MAILING ADDRESS 2015-04-28 841 Prudential Drive, Suite 1802, JACKSONVILLE, FL 32207 -

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-27
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
ANNUAL REPORT 2015-04-28

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Jun 2025

Sources: Florida Department of State