| Entity Name: | SIGNATURE HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SIGNATURE HEALTH SERVICES, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 May 1998 (27 years ago) |
| Date of dissolution: | 28 Sep 2012 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (13 years ago) |
| Document Number: | P98000041085 |
| FEI/EIN Number |
650832664
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1711 HAMMONDVILLE RD, POMPANO BEACH, FL, 33069 |
| Mail Address: | 1711 HAMMONDVILLE RD, POMPANO BEACH, FL, 33069 |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619995578 | 2006-07-18 | 2009-12-16 | 1711 HAMMONDVILLE RD, POMPANO BEACH, FL, 330691989, US | 1711 HAMMONDVILLE RD, POMPANO BEACH, FL, 330691989, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 954-972-6450 |
| Fax | 9549727028 |
Authorized person
| Name | MR. DALE GIBSON |
| Role | EXECUTIVE DIRECTOR |
| Phone | 9549726450 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | HCC4684 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | HCC4684 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 255566200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GIBSON DALE | DCOB | 1711 HAMMONDVILLE ROAD, POMPANO, FL, 33069 |
| GIBSON DALE | Agent | 1711 HAMMONDVILLE RD, POMPANO BEACH, FL, 33069 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000012560 | SUNSHINE HEALTH CENTER & VISITING PHYSICIANS | EXPIRED | 2011-02-02 | 2016-12-31 | - | 1711 HAMMONDVILLE ROAD, POMPANO BEACH, FL, 33069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| REINSTATEMENT | 2011-10-18 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| REINSTATEMENT | 2010-10-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| AMENDMENT | 2008-01-18 | - | - |
| AMENDMENT | 2007-04-19 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2003-03-14 | 1711 HAMMONDVILLE RD, POMPANO BEACH, FL 33069 | - |
| CHANGE OF MAILING ADDRESS | 2003-03-14 | 1711 HAMMONDVILLE RD, POMPANO BEACH, FL 33069 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2003-03-14 | 1711 HAMMONDVILLE RD, POMPANO BEACH, FL 33069 | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2011-10-18 |
| REINSTATEMENT | 2010-10-08 |
| ANNUAL REPORT | 2009-06-18 |
| ANNUAL REPORT | 2008-03-17 |
| Amendment | 2008-01-18 |
| Amendment | 2007-04-19 |
| ANNUAL REPORT | 2007-04-17 |
| ANNUAL REPORT | 2006-01-26 |
| ANNUAL REPORT | 2005-03-28 |
| ANNUAL REPORT | 2004-02-06 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
