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  5. SUNSHINE PEDIATRICS, INC.

SUNSHINE PEDIATRICS, INC. - Florida Company Profile

Company Details

Entity Name: SUNSHINE PEDIATRICS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SUNSHINE PEDIATRICS, 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: 29 Aug 1994 (31 years ago)
Date of dissolution: 26 Sep 1997 (28 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 1997 (28 years ago)
Document Number: P94000063570
FEI/EIN Number 650515317

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 100 W. CYPRESS CREEK RD., SUITE 930, FORT LAUDERDALE, FL, 33309
Mail Address: 100 W. CYPRESS CREEK RD., SUITE 930, FORT LAUDERDALE, FL, 33309
ZIP code: 33309
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386689057 2006-06-18 2008-05-13 185 CROSSVILLE ST, CANTONMENT, FL, 325336586, US 185 CROSSVILLE ST, CANTONMENT, FL, 325336586, US

Contacts
Phone +1 850-478-5440
Fax 8504785447

Authorized person
Name RAFAH AFLAK
Role PROVIDER/OWNER
Phone 8504785440

Taxonomy
Taxonomy Code 2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 258104300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNSHINE PEDIATRICS 401K PROFIT SHARING PLAN AND TRUST 2020 204965420 2022-02-03 SUNSHINE PEDIATRICS 22
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4072150400
Plan sponsor’s address 210 LOOKOUT PL, MAITLAND, FL, 327514491

Signature of
Role Plan administrator
Date 2022-02-03
Name of individual signing RICHARD RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
SUNSHINE PEDIATRICS 401K PROFIT SHARING PLAN AND TRUST 2020 204965420 2022-04-14 SUNSHINE PEDIATRICS 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4072150400
Plan sponsor’s address 210 LOOKOUT PL, MAITLAND, FL, 327514491

Signature of
Role Plan administrator
Date 2022-04-14
Name of individual signing RICHARD RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-14
Name of individual signing RICHARD RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
SUNSHINE PEDIATRICS 401(K) PROFIT SHARING PLAN & TRUST 2019 204965420 2020-12-21 SUNSHINE PEDIATRICS 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4072150400
Plan sponsor’s address 210 LOOKOUT PLACE, MAITLAND, FL, 32751

Signature of
Role Plan administrator
Date 2020-12-21
Name of individual signing ASHLEY SMIDEBUSH
Valid signature Filed with authorized/valid electronic signature
SUNSHINE PEDIATRICS 401 K PROFIT SHARING PLAN TRUST 2018 204965420 2019-07-17 SUNSHINE PEDIATRICS 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4072150400
Plan sponsor’s address 210 LOOKOUT PLACE, MAITLAND, FL, 32751

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing RICHARD RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
SUNSHINE PEDIATRICS 401 K PROFIT SHARING PLAN TRUST 2017 204965420 2018-03-19 SUNSHINE PEDIATRICS 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4072150400
Plan sponsor’s address 210 LOOKOUT PLACE, MAITLAND, FL, 32751

Signature of
Role Plan administrator
Date 2018-03-19
Name of individual signing RICHARD G. RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
SUNSHINE PEDIATRICS 401 K PROFIT SHARING PLAN TRUST 2016 204965420 2018-03-19 SUNSHINE PEDIATRICS 14
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4072150400
Plan sponsor’s address 210 LOOKOUT PLACE, MAITLAND, FL, 32751

Signature of
Role Plan administrator
Date 2018-03-19
Name of individual signing RICHARD G. RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
SUNSHINE PEDIATRICS 401 K PROFIT SHARING PLAN TRUST 2016 204965420 2018-04-26 SUNSHINE PEDIATRICS 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4072150400
Plan sponsor’s address 210 LOOKOUT PLACE, MAITLAND, FL, 32751

Signature of
Role Plan administrator
Date 2018-04-26
Name of individual signing ASHLEY SMIDEBUSH
Valid signature Filed with authorized/valid electronic signature
SUNSHINE PEDIATRICS 401 K PROFIT SHARING PLAN TRUST 2015 204965420 2016-08-17 SUNSHINE PEDIATRICS 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4072150400
Plan sponsor’s address 210 LOOKOUT PLACE, MAITLAND, FL, 32751

Signature of
Role Plan administrator
Date 2016-08-17
Name of individual signing ASHLEY SMIDEBUSH
Valid signature Filed with authorized/valid electronic signature
SUNSHINE PEDIATRICS 401 K PROFIT SHARING PLAN TRUST 2014 204965420 2015-05-12 SUNSHINE PEDIATRICS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4072150400
Plan sponsor’s address 210 LOOKOUT PLACE, MAITLAND, FL, 32751

Signature of
Role Plan administrator
Date 2015-05-12
Name of individual signing RICHARD RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
RUIZ-ISASI RENE Director 100 W. CYPRESS CREEK RD., STE. 930, FORT LAUDERDALE, FL, 33309
RUIZ-ISASI RENE President 100 W. CYPRESS CREEK RD., STE. 930, FORT LAUDERDALE, FL, 33309
PRUPIS RONALD Director 100 W. CYPRESS CREEK RD., STE. 930, FORT LAUDERDALE, FL, 33309
PRUPIS RONALD Vice President 100 W. CYPRESS CREEK RD., STE. 930, FORT LAUDERDALE, FL, 33309
CORPORATION INFORMATION SERVICES, INC. Agent -

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 1997-09-26 - -

Documents

Name Date
ANNUAL REPORT 1996-07-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5106478308 2021-01-25 0491 PPS 340 W 23rd St Ste K, Panama City, FL, 32405-4541
Loan Status Date 2022-01-31
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 45000
Loan Approval Amount (current) 45000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19243
Servicing Lender Name PeoplesSouth Bank
Servicing Lender Address 203 W Crawford St, COLQUITT, GA, 39837-3903
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Panama City, BAY, FL, 32405-4541
Project Congressional District FL-02
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 19243
Originating Lender Name PeoplesSouth Bank
Originating Lender Address COLQUITT, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 45340
Forgiveness Paid Date 2021-10-26
6659777803 2020-06-02 0491 PPP 340 W 23RD ST SUITE K, PANAMA CITY, FL, 32405-4302
Loan Status Date 2021-03-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 42125
Loan Approval Amount (current) 42125
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19243
Servicing Lender Name PeoplesSouth Bank
Servicing Lender Address 203 W Crawford St, COLQUITT, GA, 39837-3903
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PANAMA CITY, BAY, FL, 32405-4302
Project Congressional District FL-02
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 19243
Originating Lender Name PeoplesSouth Bank
Originating Lender Address COLQUITT, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 42398.81
Forgiveness Paid Date 2021-01-25

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CORPORATION INFORMATION SERVICES, INC.

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Domestic Profit (1984 - 1985)
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Domestic Profit (1983 - 1984)
POLYTON TEXTILES, INC. - Inactive
Domestic Profit (1991 - 1992)
MYERS-PINE RIDGE, INC. - Inactive
Domestic Profit (1985 - 1986)
DEVELOPMENT HOUSE OF FLORIDA, INC. - Inactive
Domestic Profit (1983 - 1984)
P.D.H. CORPORATION - Inactive
Domestic Profit (1986 - 1987)
TOTAL TRUCKING AND EXCAVATING, INC. - Inactive
Domestic Profit (1988 - 1990)
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Companies related by address

No other companies in our directory share the same address as SUNSHINE PEDIATRICS, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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