Detail by Officer/Registered Agent Name
Florida Not For Profit Corporation
BROWARD COUNTY MEDICAL ASSOCIATION, INC.
Filing Information
N26889
59-0834012
06/10/1988
FL
ACTIVE
CANCEL ADM DISS/REV
09/19/2005
NONE
Principal Address
Changed: 04/28/2022
5101 NW 21 AVE
S-510
FT. LAUDERDALE, FL 33309
S-510
FT. LAUDERDALE, FL 33309
Changed: 04/28/2022
Mailing Address
Changed: 04/28/2022
5101 NW 21 AVE
S-510
FT. LAUDERDALE, FL 33309
S-510
FT. LAUDERDALE, FL 33309
Changed: 04/28/2022
Registered Agent Name & Address
CYNTHIA PETERSON
Name Changed: 05/15/1991
Address Changed: 04/28/2022
5101 NW 21 AVENUE
SUITE S-510
FT. LAUDERDALE, FL 33309
SUITE S-510
FT. LAUDERDALE, FL 33309
Name Changed: 05/15/1991
Address Changed: 04/28/2022
Officer/Director Detail
Name & Address
Title Director
FATTEH, SHAHNAZ, M.D.
Title Director
ZAGHA, RALPH, M.D.
Title D
CHANDRAN, KUTTY, M.D.
Title Director
FERNANDEZ, VANIA E., M.D.
Title Director
KENIGSBERG, DAVID, M.D.
Title President
Wong, Antonio, M.D.
Title Director
Berens, Abram S, MD
Title Director
FATTEH, SHAHNAZ, M.D.
5101 NW 21 AVE. SUITE 510
FT. LAUDERDALE, FL 33309
FT. LAUDERDALE, FL 33309
Title Director
ZAGHA, RALPH, M.D.
5101 NW 21 AVE, SUITE 510
FT. LAUDERDALE, FL 33309
FT. LAUDERDALE, FL 33309
Title D
CHANDRAN, KUTTY, M.D.
5101 NW 21 AVE., SUITE 510
FT. LAUDERDALE, FL 33309
FT. LAUDERDALE, FL 33309
Title Director
FERNANDEZ, VANIA E., M.D.
5101 NW 21 AVE
S-510
FT. LAUDERDALE, FL 33309
S-510
FT. LAUDERDALE, FL 33309
Title Director
KENIGSBERG, DAVID, M.D.
5101 NW 21ST AVE. SUITE 510
FT. LAUDERDALE, FL 33309
FT. LAUDERDALE, FL 33309
Title President
Wong, Antonio, M.D.
5101 NW 21 AVE
S-510
FT. LAUDERDALE, FL 33309
S-510
FT. LAUDERDALE, FL 33309
Title Director
Berens, Abram S, MD
5101 NW 21st Avenue
Suite510
Fort Lauderdale, FL 33309
Suite510
Fort Lauderdale, FL 33309
Annual Reports
Report Year | Filed Date |
2022 | 04/28/2022 |
2023 | 04/07/2023 |
2024 | 04/30/2024 |
Document Images