| Entity Name: | SOUTH BROWARD PRIMARY CARE IPA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Aug 1996 (28 years ago) |
| Document Number: | P96000069569 |
| FEI/EIN Number | 650688695 |
| Address: | 2900 COPORATE WAY, MIRARMAR, FL, 33025 |
| Mail Address: | 2900 COPORATE WAY, MIRARMAR, FL, 33025 |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BARBER GARY | Agent | 3329 JOHNSON STREET, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| HEROLD FREDERICK S | Director | C/O MIH, 2900 COPORATE WAY, MIRAMAR, FL, 33025 |
| LAZAR MARK M | Director | C/O MIH, 2900 CORPORATE WAY, MIRAMAR, FL, 33025 |
| MOSHIN JAFFER M | Director | C/O MIH, 2900 CORPORATE WAY, MIRAMAR, FL, 33025 |
| BLAZE KENNETH | Director | 1 SW 129TH AVE STE 109, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| BLAZE KENNETH | Manager | 1 SW 129TH AVE STE 109, PEMBROKE PINES, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2009-04-29 | No data | No data |
| REINSTATEMENT | 1997-12-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
