| Entity Name: | WEST BROWARD IPA, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Mar 1999 (26 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Nov 2000 (24 years ago) |
| Document Number: | L99000001565 |
| FEI/EIN Number | 65-0908530 |
| Address: | 934 Jefferson St, Hollywood, FL 33019 |
| Mail Address: | 1117 E. HALLANDALE BEACH BOULEVARD, HALLANDALE BEACH, FL 33009 |
| ZIP code: | 33019 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982045068 | 2013-07-17 | 2013-07-17 | 1117 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 330094488, US | 1117 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 330094488, US | |||||||||||||||
|
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| Phone | +1 954-457-8771 |
| Fax | 9542416908 |
Authorized person
| Name | JORDAN SAYFIE |
| Role | ADMINISTRATOR |
| Phone | 9544578771 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAYFIE, JORDAN | Agent | 934 Jefferson Street, Hollywood, FL 33019 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ-BRAVO, M.D, ALBERTO | Manager | 201 NW 82ND AVENUE, PLANTATION, FL 33324 |
| FRANKEL, M.D., JOEL | Manager | 2951 NW 49TH AVENUE #202, FT. LAUDERDALE, FL 33313 |
| HERSCH, M.D., PAUL | Manager | 4959 N. STATE ROAD 7, SUITE C, TAMARAC, FL 33319 |
| MABOURAKH, M.D., SHARAD | Manager | 6463 W. COMMERCIAL BOULEVARD, TAMARAC, FL 33319 |
| WAKED, M.D., GEORGE | Manager | 7421 NORTH UNIVERSITY DRIVE, SUITE 214, TAMARAC, FL 33321 |
| Name | Role | Address |
|---|---|---|
| Sayfie, Jordan | Authorized Member | 934 Jefferson St, Hollywood, FL 33019 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-27 | 934 Jefferson St, Hollywood, FL 33019 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-27 | SAYFIE, JORDAN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-27 | 934 Jefferson Street, Hollywood, FL 33019 | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-22 | 934 Jefferson St, Hollywood, FL 33019 | No data |
| REINSTATEMENT | 2000-11-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-02-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
