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SUNLIFE PEDIATRIC NETWORK, INC. - Florida Company Profile

Company Details

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

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

Events

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. -

Documents

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