| Entity Name: | SIGNATURE LABS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Feb 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P16000018269 |
| Address: | 900 OSCEOLA DRIVE SUITE 200, WEST PALM BEACH, FL 33409 |
| Mail Address: | 900 OSCEOLA DRIVE SUITE 200, WEST PALM BEACH, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851740187 | 2016-06-07 | 2016-06-07 | 900 OSCEOLA DR STE 223, WEST PALM BEACH, FL, 334095075, US | 555 HERITAGE DR STE 110, JUPITER, FL, 334585286, US | |||||||||||||||||
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| Phone | +1 561-500-7446 |
Authorized person
| Name | VERONICA HERNANDEZ |
| Role | BILLING MANAGER |
| Phone | 9542033584 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 10D2033132 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOBARAK, YUSEF KARIM | Agent | 1730 BORREGO, UNIT 8, WEST PALM BEACH, FL 33401 |
| Name | Role | Address |
|---|---|---|
| MOBARAK, YUSEF K | Vice President | 900 OSCEOLA DRIVE SUITE 223, WEST PALM BEACH, FL 33409 |
| HERNANDEZ, ANSELMO V | Vice President | 900 OSCEOLA DRIVE SUITE 223, WEST PALM BEACH, FL 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT | 2016-09-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-09-09 | 900 OSCEOLA DRIVE SUITE 200, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2016-09-09 | 900 OSCEOLA DRIVE SUITE 200, WEST PALM BEACH, FL 33409 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-09-09 | MOBARAK, YUSEF KARIM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-09-09 | 1730 BORREGO, UNIT 8, WEST PALM BEACH, FL 33401 | No data |
| Name | Date |
|---|---|
| Amendment | 2016-09-09 |
| Domestic Profit | 2016-02-24 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
