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

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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

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

National Provider Identifier

NPI Number:
1982472940
Certification Date:
2025-04-28

Authorized Person:

Name:
LEEANN MENGEL
Role:
VICE PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
9043764075
Fax:
9042022754

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

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Date of last update: 02 Jun 2025

Sources: Florida Department of State