Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

BROWARD COUNTY MEDICAL ASSOCIATION PHYSICIAN/EMPLOYEES PROVIDER PLAN, INC.

Filing Information
N98000000967 65-0812616 02/17/1998 FL ACTIVE CANCEL ADM DISS/REV 09/19/2005 NONE
Principal Address
5101 N.W. 21ST AVE.
Ste 510
FT. LAUDERDALE, FL 33309

Changed: 04/27/2022
Mailing Address
5101 N.W. 21ST AVE.
STE 510
FT. LAUDERDALE, FL 33309

Changed: 04/27/2022
Registered Agent Name & Address PETERSON, CYNTHIA S
5101 N.W. 21ST AVE.,
Ste 510
FT. LAUDERDALE, FL 33309

Address Changed: 04/27/2022
Officer/Director Detail Name & Address

Title PD

PALAMARA, ARTHUR
1150 N. 35th Avenue
Suite 460
HOLLYWOOD, FL 33021

Title D

ELKIN, AARON, M.D.
5101 NW 21ST AVENUE STE 510
FORT LAUDERDALE, FL 33309

Title D

CHANDRAN, KUTTY
5101 NW 21st Avenue
Suite 510
FT. LAUDERDALE, FL 33309

Annual Reports
Report YearFiled Date
2022 04/27/2022
2023 04/07/2023
2024 04/30/2024