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  5. SUNSHINE PEDIATRICS, INC.

SUNSHINE PEDIATRICS, INC.

Company Details

Entity Name: SUNSHINE PEDIATRICS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 Aug 1994 (30 years ago)
Document Number: P94000063570
FEI/EIN Number 650515317
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

Agent

Name Role
CORPORATION INFORMATION SERVICES, INC. Agent

Director

Name Role Address
RUIZ-ISASI RENE Director 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

President

Name Role Address
RUIZ-ISASI RENE President 100 W. CYPRESS CREEK RD., STE. 930, FORT LAUDERDALE, FL, 33309

Vice President

Name Role Address
PRUPIS RONALD Vice President 100 W. CYPRESS CREEK RD., STE. 930, FORT LAUDERDALE, FL, 33309

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 1997-09-26 No data No data

Related by officers

RUIZ-ISASI RENE

PEDWISE CORPORATION HALCYON PEDIATRICS, INC. FOREMOST INFUSION COMPANY OF THE AMERICAS, INC.

PRUPIS RONALD

STRATEGIC INSURANCE SERVICES CORPORATION HEALTH WELLNESS MEDICAL REVIEW SERVICES, INC. NAVIS SHIPPING & TRADING, INC. FOREMOST INFUSION COMPANY OF THE AMERICAS, INC.

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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