| Entity Name: | BROWARD PHYSICIAN ALLIANCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 13 Nov 1995 (29 years ago) |
| Document Number: | N95000005422 |
| FEI/EIN Number | 650645125 |
| Address: | 4101 S HOSPITAL DR,, SUITE 1, PLANTATION, FL, 33317, US |
| Mail Address: | 4101 S HOSPITAL DR,, SUITE 1, PLANTATION, FL, 33317, US |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| FARRELL JAMES A | Agent | 250 S AUSTRALIAN AVE, WEST PALM BEACH, FL, 33401 |
| Name | Role | Address |
|---|---|---|
| GALLY JEFFREY M | Director | 3800 COCONUT CREEK PKWY #102, COCONUT CREEK, FL, 33066 |
| STREIT BARRY M | Director | 6610 N UNIVERSITY DR, TAMARAC, FL, 33321 |
| BASS LEONARD M | Director | 2323 NW 19 ST SUITE 3, PLANTATION, FL, 33311 |
| BURKS RANDY M | Director | 5800 COLONIAL DR, MARGATE, FL, 33063 |
| BATES PAUL D | Director | 201 NW 82 AVE SUITE 401, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| GALLY JEFFREY M | President | 3800 COCONUT CREEK PKWY #102, COCONUT CREEK, FL, 33066 |
| SCHULTZ NEIL M | President | 5800 COLONIAL RD SUITE 205, MARGATE, FL, 33063 |
| Name | Role | Address |
|---|---|---|
| STREIT BARRY M | Secretary | 6610 N UNIVERSITY DR, TAMARAC, FL, 33321 |
| Name | Role | Address |
|---|---|---|
| STREIT BARRY M | Treasurer | 6610 N UNIVERSITY DR, TAMARAC, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
