Detail by Entity 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
SUITE 1450
JACKSONVILLE, FL 32207
Mailing Address
841 PRUDENTIAL DRIVE
SUITE 1450
JACKSONVILLE, FL 32207
SUITE 1450
JACKSONVILLE, FL 32207
Registered Agent Name & Address
Baity, G. Scott, ESQ.
Name Changed: 04/30/2019
841 PRUDENTIAL DRIVE
SUITE 1802
JACKSONVILLE, FL 32207
SUITE 1802
JACKSONVILLE, FL 32207
Name Changed: 04/30/2019
Authorized Person(s) Detail
Name & Address
Title AMBR
BAPTIST PHYSICIAN PARTNERS, LLC
Title AR
GROOVER, TIMOTHY, MD
Title AR, Secretary
Stocker, Allison M., Esq.
Title Chairman
Shapiro, MD, Craig
Title Treasurer
Tickell, Keith
Title President
MAYO, MICHAEL A
Title AMBR
BAPTIST PHYSICIAN PARTNERS, LLC
841 PRUDENTIAL DRIVE, SUITE 1450
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
Title AR
GROOVER, TIMOTHY, MD
841 PRUDENTIAL DRIVE, SUITE 1450
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
Title AR, Secretary
Stocker, Allison M., Esq.
841 PRUDENTIAL DRIVE, SUITE 1802
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
Title Chairman
Shapiro, MD, Craig
841 PRUDENTIAL DRIVE
SUITE 1450
JACKSONVILLE, FL 32207
SUITE 1450
JACKSONVILLE, FL 32207
Title Treasurer
Tickell, Keith
841 Prudential Drive
Suite 1602
Jacksonville, FL 32207
Suite 1602
Jacksonville, FL 32207
Title President
MAYO, MICHAEL A
841 Prudential Dr.
Suite 1601
Jacksonville, FL 32207
Suite 1601
Jacksonville, FL 32207
Annual Reports
Report Year | Filed Date |
2022 | 04/27/2022 |
2023 | 04/05/2023 |
2024 | 04/08/2024 |
Document Images