Detail by Officer/Registered Agent Name

Florida Profit Corporation

BAPTIST SPECIALTY PHYSICIANS, INC.

Filing Information
P05000008746 86-1126946 01/18/2005 FL INACTIVE CONVERSION 09/03/2019 NONE
Principal Address
3563 PHILIPS HIGHWAY
BUILDING A, SUITE 101
JACKSONVILLE, FL 32207

Changed: 04/30/2010
Mailing Address
841 PRUDENTIAL DRIVE
SUITE 1802
JACKSONVILLE, FL 32207

Changed: 04/30/2010
Registered Agent Name & Address Baity, G. Scott
841 PRUDENTIAL DRIVE
SUITE 1802
JACKSONVILLE, FL 32207

Name Changed: 04/30/2019

Address Changed: 04/30/2010
Officer/Director Detail Name & Address

Title Director, President

Mayo, Michael A.
841 PRUDENTIAL DRIVE, SUITE 1601
JACKSONVILLE, FL 32207

Title VP

Groover, MD, Timothy
841 PRUDENTIAL DRIVE, SUITE 1601
JACKSONVILLE, FL 32207

Title D, Treasurer

Tickell, Keith
841 PRUDENTIAL DRIVE, SUITE 1602
JACKSONVILLE, FL 32207

Title Secretary

Baity, G. Scott
841 PRUDENTIAL DRIVE, SUITE 1802
JACKSONVILLE, FL 32207

Annual Reports
Report YearFiled Date
2021 04/30/2021
2022 04/29/2022
2023 04/05/2023