| Entity Name: | SIGNATURE FOOT & ANKLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SIGNATURE FOOT & ANKLE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 28 Mar 2022 (3 years ago) |
| Document Number: | L22000149330 |
| FEI/EIN Number |
881463522
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12983 Southern Blvd, Ste 206, Loxahatchee, FL, 33470, US |
| Mail Address: | 12983 Southern Blvd, Ste 206, Loxahatchee, FL, 33470, US |
| ZIP code: | 33470 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033854054 | 2022-05-03 | 2022-07-25 | 12983 SOUTHERN BLVD, STE 206, LOXAHATCHEE, FL, 33470, US | 12983 SOUTHERN BLVD STE 206, LOXAHATCHEE, FL, 334709207, US | |||||||||||||||||||||
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| Phone | +1 561-203-9285 |
| Fax | 5615760809 |
Authorized person
| Name | DR. STEPHANIE KANE |
| Role | PRESIDENT |
| Phone | 2032282388 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 114223400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KANE STEPHANIE MDPM | Owne | 12983 Southern Blvd, Loxahatchee, FL, 33470 |
| Gross Timothy | Agent | 8452 GRAND PRIX LANE, BOYNTON BEACH, FL, 33472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-15 | 12983 Southern Blvd, Ste 206, Loxahatchee, FL 33470 | - |
| REGISTERED AGENT NAME CHANGED | 2023-01-15 | Gross, Timothy | - |
| CHANGE OF MAILING ADDRESS | 2022-05-04 | 12983 Southern Blvd, Ste 206, Loxahatchee, FL 33470 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-01-15 |
| Florida Limited Liability | 2022-03-28 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
