SUNLIFE PEDIATRIC NETWORK INC
Medical Practice at 4 St, Fort Lauderdale, FL

License number
Florida ME 68933
Category
Medical Practice
Type
Hospice and Palliative Medicine
Owner
Name: MARY HUDDY
Title: OFFICE MANAGER
Phone: (954) 791-5420
Address
Address
4101 NW 4Th St SUITE 200, Fort Lauderdale, FL 33317
National Provider ID: 1326251596
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SUNLIFE PEDIATRIC NETWORK INC at bizstanding.com

SUNLIFE PEDIATRIC NETWORK, INC

Fort Lauderdale, FL

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Nov 14, 1994
Inactive since:
Mar 21, 2001
Addresses:
4101 NW 4 St 200, Fort Lauderdale, FL 33317 (Physical)
4101 NW 4 St, Fort Lauderdale, FL 33317
State ID:
P94000083129
Business type:
Florida Profit Corporation
Presidents:
Campbell-Mogg, Shirley, 4101 NW 4 St, Fort Lauderdale, FL 33317 (Physical),Syd Mogg (Treasurer, Secretary), 4101 NW 4 St, Fort Lauderdale, FL 33317 (Physical),Shirley Campbell-Mogg (President)
EIN:
65-0538046
Categories:
Pediatrics Physicians & Surgeons, Physicians & Surgeons
Products:
Neonatal & Newborn Care
Additional:
Physicians OB/GYN

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