{"entity":{"id":15792265,"state":"FL","state_id":"P96000069569","entity_name":"SOUTH BROWARD PRIMARY CARE IPA, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1996-08-21","filing_year":1996,"business_age_years":30,"principal_address1":"2900 COPORATE WAY","principal_address2":"","principal_city":"MIRARMAR","principal_state":"FL","principal_zip":"33025","principal_country":"","mail_address1":"2900 COPORATE WAY","mail_address2":"","mail_city":"MIRARMAR","mail_state":"FL","mail_zip":"33025","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"650688695","jurisdiction":null,"county":null,"last_transaction_date":"04292009","report_year_1":"2009","report_date_1":"02232009","report_year_2":"2009","report_date_2":"02232009","report_year_3":"2008","report_date_3":"05062008","agent_name":"Gary Barber","agent_type":"P","agent_address":"3329 JOHNSON STREET","agent_city":"HOLLYWOOD","agent_state":"FL","agent_zip":"33021","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata9.txt","fetched_at":"2026-05-09 15:51:31","updated_at":"2026-05-09 15:51:31","last_accessed":null,"status_reason":null,"agent_name_raw":"BARBER              GARY"},"officers":[{"name":"Kenneth Blaze","first_name":"Kenneth","last_name":"Blaze","title":"Member, Director","title_roles":["Member","Director"],"title_code":"md","is_registered_agent":false,"address":"1 SW 129TH AVE STE 109","city":"PEMBROKE PINES","state":"FL","zip":"33027","name_raw":"BLAZE               KENNETH"},{"name":"Frederick S Herold","first_name":"Frederick","last_name":"Herold","title":"Director, Chairman","title_roles":["Director","Chairman"],"title_code":"dc","is_registered_agent":false,"address":"C/O MIH, 2900 COPORATE WAY","city":"MIRAMAR","state":"FL","zip":"33025","name_raw":"HEROLD              FREDERICK     S"},{"name":"Mark M Lazar","first_name":"Mark","last_name":"Lazar","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"C/O MIH, 2900 CORPORATE WAY","city":"MIRAMAR","state":"FL","zip":"33025","name_raw":"LAZAR               MARK          M"},{"name":"Jaffer M Moshin","first_name":"Jaffer","last_name":"Moshin","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"C/O MIH, 2900 CORPORATE WAY","city":"MIRAMAR","state":"FL","zip":"33025","name_raw":"MOSHIN              JAFFER        M"}],"filing_history":[],"status_history":[],"unknown":["status_history: we do not collect status-change histories from the source feeds, so this empty list means we hold none — NOT that this company's status has never changed. Observed changes we DID see are under `history`."],"verified_domains":[],"history":null,"web_contact":null,"provenance_url":"https://private.rootz.global/api/provenance/FL/P96000069569"}