| Entity Name: | BAPTIST UROLOGY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BAPTIST UROLOGY, 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: | 17 Apr 2013 (12 years ago) |
| Document Number: | P13000034970 |
| FEI/EIN Number |
46-2632312
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3563 PHILIPS HWY, BUILDING A, SUITE 101, JACKSONVILLE, FL, 32207, US |
| Mail Address: | 3563 PHILIPS HWY, 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 | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689011710 | 2013-05-30 | 2018-12-12 | PO BOX 2421, SALT LAKE CITY, UT, 841102421, US | 1348 S 18TH ST STE 210, FERNANDINA BEACH, FL, 320344785, US | |||||||||||||||||||||||||||
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| Phone | +1 904-202-1032 |
| Fax | 9043764107 |
| Phone | +1 904-261-9108 |
| Fax | 9042619911 |
Authorized person
| Name | MASHA DONALDSON |
| Role | ADMINISTRATOR |
| Phone | 9043763707 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DU3519 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Mayo Michael A | President | 841 Prudential Drive, Jacksonville, FL, 32207 |
| Baity G. S | Secretary | 841 Prudential Drive, Jacksonville, FL, 32207 |
| Groover, MD Timothy | Director | 841 Prudential Drive, Jacksonville, FL, 32207 |
| GORAK EDWARD | Vice President | 841 Prudential Dr., Jacksonville, FL, 32207 |
| TICKELL KEITH A | Vice President | 841 Prudential Dr., Jacksonville, FL, 32207 |
| FINNEGAN T S | Treasurer | 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 |
|---|---|---|---|---|---|---|
| G24000041690 | BAPTIST MEDICAL GROUP | ACTIVE | 2024-03-25 | 2029-12-31 | - | 3563 PHILIPS HIGHWAY, BLDG A, STE 101, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | Baity, G. Scott | - |
| 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
