| Entity Name: | BGC HOLDINGS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Jan 1998 (27 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 06 Oct 2005 (19 years ago) |
| Document Number: | P98000001430 |
| FEI/EIN Number | 59-3498326 |
| Address: | 4800 BELFORT ROAD, JACKSONVILLE, FL 32256 |
| Mail Address: | 4800 BELFORT ROAD, JACKSONVILLE, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588633481 | 2006-03-15 | 2010-01-12 | 1610 BARRS ST, JACKSONVILLE, FL, 322044569, US | 1610 BARRS ST, JACKSONVILLE, FL, 322044569, US | |||||||||||||||||||||||||
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| Phone | +1 904-387-6750 |
| Fax | 9043874766 |
Authorized person
| Name | DR. JACK R GROOVER |
| Role | CEO |
| Phone | 9043983262 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1092 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 076593700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ETZKORN, KYLE MD | Agent | 4800 BELFORT ROAD, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| MADHOK, DINESH | Vice President | 4800 BELFORT ROAD, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| ETZKORN, KYLE | President | 4800 BELFORT ROAD, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| LANKARANI, ALI | Secretary | 4800 BELFORT ROAD, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| GASSERT, DANIEL J | Treasurer | 4800 BELFORT ROAD, JACKSONVILLE, FL 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000142792 | JACKSONVILLE CENTER FOR ENDOSCOPY-SOUTHSIDE | EXPIRED | 2009-08-05 | 2014-12-31 | No data | 4800 BELFORT ROAD, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-09-30 | ETZKORN, KYLE MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-10-06 | 4800 BELFORT ROAD, JACKSONVILLE, FL 32256 | No data |
| CANCEL ADM DISS/REV | 2005-10-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-10-06 | 4800 BELFORT ROAD, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2005-10-06 | 4800 BELFORT ROAD, JACKSONVILLE, FL 32256 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| REINSTATEMENT | 2001-10-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-14 |
| AMENDED ANNUAL REPORT | 2016-09-30 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
