| Entity Name: | SIGNATURE COORDINATION & CONSULT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jul 2020 (5 years ago) |
| Document Number: | L20000191851 |
| FEI/EIN Number | 85-1987053 |
| Address: | 1221 DELAWARE AVENUE, FT. PIERCE, FL, 34950, US |
| Mail Address: | 1221 DELAWARE AVENUE, FT. PIERCE, FL, 34950, US |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598410185 | 2022-02-13 | 2022-02-13 | 1221 DELAWARE AVE FL 2, FORT PIERCE, FL, 349504084, US | 1221 DELAWARE AVE FL 2, FORT PIERCE, FL, 349504084, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-899-0954 |
Authorized person
| Name | LEA G STONOM |
| Role | OWNER |
| Phone | 9548990954 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | Yes |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110134800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STONOM Lea | Agent | 1221 DELAWARE AVENUE, FT. PIERCE, FL, 34950 |
| Name | Role | Address |
|---|---|---|
| STONOM BRIDGET | Director | 1221 DELAWARE AVENUE, FORT PIERCE, FL, 34950 |
| STONOM LEA | Director | 1221 DELAWARE AVENUE, FORT PIERCE, FL, 34950 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-03-23 | STONOM, Lea | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000418481 | TERMINATED | 1000001001218 | ST LUCIE | 2024-06-26 | 2034-07-03 | $ 1,402.25 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT PIERCE SERVICE CENTER, 337 N US HIGHWAY 1 STE 207-B, FORT PIERCE FL349504255 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-09-21 |
| ANNUAL REPORT | 2021-03-23 |
| Florida Limited Liability | 2020-07-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
