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WEST BROWARD IPA, L.L.C. - Florida Company Profile

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Company Details

Entity Name: WEST BROWARD IPA, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Mar 1999 (26 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 06 Nov 2000 (25 years ago)
Document Number: L99000001565
FEI/EIN Number 650908530
Address: 6463 W Commercial Boulevard, Tamarac, FL, 33319, US
Mail Address: 6463 W. Commercial Boulevard, Tamarac, FL, 33319, US
ZIP code: 33319
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Mangra Basil M.D. Manager 3296 N State Road 7, Lauderdale Lakes, FL, 33319
Mabourakh Sharad Dr. Agent 6463 W Commercial Boulevard, Tamarac, FL, 33319
MABOURAKH, M.D. SHARAD Manager 6463 W. COMMERCIAL BOULEVARD, TAMARAC, FL, 33319
Sayfie Jordan Authorized Member 934 Jefferson St, Hollywood, FL, 33019

National Provider Identifier

NPI Number:
1982045068

Authorized Person:

Name:
JORDAN SAYFIE
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9542416908

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-27 934 Jefferson St, Hollywood, FL 33019 -
REGISTERED AGENT NAME CHANGED 2024-01-27 SAYFIE, JORDAN -
REGISTERED AGENT ADDRESS CHANGED 2024-01-27 934 Jefferson Street, Hollywood, FL 33019 -
CHANGE OF MAILING ADDRESS 2010-03-22 934 Jefferson St, Hollywood, FL 33019 -
REINSTATEMENT 2000-11-06 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-29 - -

Documents

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

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Date of last update: 02 Aug 2025

Sources: Florida Department of State