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BAPTIST MD ANDERSON CANCER PHYSICIANS, INC. - Florida Company Profile

Company Details

Entity Name: BAPTIST MD ANDERSON CANCER PHYSICIANS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BAPTIST MD ANDERSON CANCER 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: 12 Apr 2013 (12 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 08 Feb 2019 (6 years ago)
Document Number: P13000033715
FEI/EIN Number 46-2620381

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

Mail Address: 841 Prudential Drive, Suite 1802, JACKSONVILLE, FL, 32207, US
Address: 1301 PALM AVENUE, JACKSONVILLE, FL, 32207, US
ZIP code: 32207
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982472940 2023-12-19 2023-12-19 PO BOX 746654, ATLANTA, GA, 303746654, US 1301 PALM AVE STE 101, JACKSONVILLE, FL, 322078432, US

Contacts

Phone +1 904-202-2092
Fax 9043937603
Phone +1 904-202-7300
Fax 9042027433

Authorized person

Name LEEANN MENGEL
Role VICE PRESIDENT
Phone 9042027300

Taxonomy

Taxonomy Code 207RH0000X - Hematology (Internal Medicine) Physician
Is Primary No
Taxonomy Code 207RH0003X - Hematology & Oncology Physician
Is Primary No
Taxonomy Code 207RX0202X - Medical Oncology Physician
Is Primary No
Taxonomy Code 2084N0400X - Neurology Physician
Is Primary No
Taxonomy Code 2085R0001X - Radiation Oncology Physician
Is Primary Yes

Key Officers & Management

Name Role Address
Mayo Michael A Director 841 Prudential Drive, Jacksonville, FL, 32207
Baity G. S Secretary 841 Prudential Drive, Jacksonville, FL, 32207
Mengel LeeAnn Vice President 1301 PALM AVENUE, JACKSONVILLE, FL, 32207
Putnam, MD Bill Vice President 1235 San Marco Blvd., Jacksonville, FL, 32207
Tickell Keith Treasurer 841 Prudential Drive, Jacksonville, FL, 32207
Zuino Matthew A Director 841 Prudential Dr, Jacksonville, FL, 32207
Baity G. S Agent 841 PRUDENTIAL DR, SUITE 1802, JACKSONVILLE, FL, 32207

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000041706 BAPTIST MEDICAL GROUP ACTIVE 2024-03-25 2029-12-31 - 1301 PALM AVENUE, JACKSONVILLE, FL, 32207
G15000058472 BAPTIST ONCOLOGY SPECIALISTS EXPIRED 2015-06-11 2020-12-31 - 1235 SAN MARCO BOULEVARD, JACKSONVILLE, FL, 32207
G15000050244 BAPTIST MD ANDERSON CANCER PHYSICIANS ACTIVE 2015-05-21 2025-12-31 - 1301 PALM AVENUE, JACKSONVILLE, FL, 32207
G14000028324 BAPTIST ONCOLOGY SERVICES EXPIRED 2014-03-20 2019-12-31 - 3563 PHILIPS HIGHWAY, BUILDING A, SUITE 101, JACKSONVILLE, FL, 32207

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-04-30 Baity, G. Scott -
AMENDMENT AND NAME CHANGE 2019-02-08 BAPTIST MD ANDERSON CANCER PHYSICIANS, INC. -
CHANGE OF PRINCIPAL ADDRESS 2019-02-08 1301 PALM AVENUE, JACKSONVILLE, FL 32207 -
CHANGE OF MAILING ADDRESS 2015-04-28 1301 PALM AVENUE, JACKSONVILLE, FL 32207 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-10-22
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
Amendment and Name Change 2019-02-08
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-28

Date of last update: 02 May 2025

Sources: Florida Department of State