Detail by Officer/Registered Agent Name

Florida Limited Liability Company

BAPTIST PHYSICIAN PARTNERS ACO, LLC

Filing Information
L17000117237 82-1698374 05/26/2017 05/26/2017 FL ACTIVE
Principal Address
841 PRUDENTIAL DRIVE
SUITE 1450
JACKSONVILLE, FL 32207
Mailing Address
841 PRUDENTIAL DRIVE
SUITE 1450
JACKSONVILLE, FL 32207
Registered Agent Name & Address Baity, G. Scott, ESQ.
841 PRUDENTIAL DRIVE
SUITE 1802
JACKSONVILLE, FL 32207

Name Changed: 04/30/2019
Authorized Person(s) Detail Name & Address

Title AMBR

BAPTIST PHYSICIAN PARTNERS, LLC
841 PRUDENTIAL DRIVE, SUITE 1450
JACKSONVILLE, FL 32207

Title AR

GROOVER, TIMOTHY, MD
841 PRUDENTIAL DRIVE, SUITE 1450
JACKSONVILLE, FL 32207

Title AR, Secretary

Stocker, Allison M., Esq.
841 PRUDENTIAL DRIVE, SUITE 1802
JACKSONVILLE, FL 32207

Title Chairman

Shapiro, MD, Craig
841 PRUDENTIAL DRIVE
SUITE 1450
JACKSONVILLE, FL 32207

Title Treasurer

Tickell, Keith
841 Prudential Drive
Suite 1602
Jacksonville, FL 32207

Title President

MAYO, MICHAEL A
841 Prudential Dr.
Suite 1601
Jacksonville, FL 32207

Annual Reports
Report YearFiled Date
2022 04/27/2022
2023 04/05/2023
2024 04/08/2024