Signature Health Services Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

HCC4684 Issued in FL

Legal business name

SIGNATURE HEALTH SERVICES INC

Practice address

1711 Hammondville Rd
Pompano Beach, FL 33069-1989

Phone

(954) 972-6450

Fax

(954) 972-7028

NPI assigned

Jul 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dale Gibson

Title

Executive Director

Phone

(954) 972-6450

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sunshine Health Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1619995578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 HAMMONDVILLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330691989",
            "telephone_number": "954-972-6450",
            "fax_number": "954-972-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 HAMMONDVILLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330691989",
            "telephone_number": "954-972-6450",
            "fax_number": "954-972-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-972-6450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC4684",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "HCC4684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255566200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Shulman, LMT
• Sandra E Shuty, LCSW
• Julie Sides
• Laura Siewruk, M.S., C.C.C. SLP
• Isabel A Sigarroa
• Michelle Signorelli
• Allison Beth Sigrist
• Alexandra Silva-Plazas, MD
• Richard C. Silva, D.O.
• Silverman Pain Management LLC

• Primary Care Clinic/Center in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.