| Entity Name: | SUNLIFE PEDIATRIC NETWORK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SUNLIFE PEDIATRIC NETWORK, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 14 Nov 1994 (30 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Dec 2019 (5 years ago) |
| Document Number: | P94000083129 |
| FEI/EIN Number |
650538046
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10051 PINES BLVD, PEMBROKE PINES, FL, 33024, US |
| Mail Address: | 10051 PINES BLVD, PEMBROKE PINES, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326251596 | 2007-05-07 | 2019-09-11 | 10051 PINES BLVD STE A, PEMBROKE PINES, FL, 330246187, US | 10051 PINES BLVD STE A, PEMBROKE PINES, FL, 330246187, US | |||||||||||||||||||||||||||
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| Phone | +1 954-743-2996 |
| Fax | 9545892131 |
| Fax | 9545589213 |
Authorized person
| Name | MONICA LOPEZ |
| Role | OFFICE MANAGER |
| Phone | 9548894029 |
Taxonomy
| Taxonomy Code | 2080H0002X - Pediatric Hospice and Palliative Medicine Physician |
| License Number | ME 68933 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 378537800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ZAMBRANO Mario D | President | 10051 PINES BLVD, PEMBROKE PINES, FL, 33024 |
| ZAMBRANO MARIO DDR | Agent | 10051 PINES BLVD, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-03-10 | 10051 PINES BLVD, SUITE A, PEMBROKE PINES, FL 33024 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-10 | 10051 PINES BLVD, SUITE A, PEMBROKE PINES, FL 33024 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-10 | 10051 PINES BLVD, SUITE A, PEMBROKE PINES, FL 33024 | - |
| AMENDMENT | 2019-12-20 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-12-20 | ZAMBRANO, MARIO D, DR | - |
| AMENDMENT | 2019-07-23 | - | - |
| AMENDMENT | 2017-10-13 | - | - |
| NAME CHANGE AMENDMENT | 2001-03-21 | SUNLIFE PEDIATRIC NETWORK, INC. | - |
| NAME CHANGE AMENDMENT | 1997-05-15 | PLANTATION PEDIATRIC GROUP, INC. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-10 |
| Amendment | 2019-12-20 |
| AMENDED ANNUAL REPORT | 2019-07-28 |
| Amendment | 2019-07-23 |
| ANNUAL REPORT | 2019-01-21 |
| Reg. Agent Resignation | 2018-11-30 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
