SUNLIFE PEDIATRIC NETWORK INC (NPI# 1326251596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326251596 |
| Entity Type | Organization |
| Organization Name | SUNLIFE PEDIATRIC NETWORK INC |
| Practice Address |
10051 Pines Blvd Ste A Pembroke Pines FL 33024-6187 |
| Practice Telephone | 9547432996 |
| Practice Fax Number | 9545589213 |
| Mailing Telephone | 9547432996 |
| Mailing Fax Number | 9545892131 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | MONICA LOPEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 9548894029 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
ME 68933 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 378537800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10794 Pines Blvd Ste 102, Pembroke Pines, FL 330263920 | 9544318558 | 9543746530 |
| 4101 Nw 4th St, Suite 200, Plantation, FL 333172839 | 9547915420 | 9547915950 |
| Street Address |
10051 PINES BLVD STE A |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-6187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851942825 | Childrens Pediatricians Group | Family Medicine | 10051 Pines Blvd Ste A, Pembroke Pines, FL 33024-6187 | 2019-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 2080H0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Hospice and Palliative Medicine |
| A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861694713 | Jaykumar M Pattani | Pediatrics | 2808 Scott Mill Ter, Jacksonville, FL 32257-5756 | 2007-06-04 |
| 1407069412 | James Sorger | Pediatrics | 4793 Esedra Ct, 304, Lake Worth, FL 33467-5076 | 2007-05-07 |
| 1518089945 | Gentle Medicine Associates | Pediatrics | 202 Se 23rd Ave, Boynton Beach, FL 33435-7620 | 2007-04-05 |
| 1922168129 | Ileana Maria Leyva | Pediatrics | 5420 Nw 33rd Ave Ste 100, Ft Lauderdale, FL 33309-6348 | 2006-12-11 |
| 1679532717 | Robert Owen Bash Jr. | Pediatrics | 12470 Telecom Dr, Suite 300 West, Temple Terrace, FL 33637-0904 | 2006-03-18 |
| 1881128171 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Palliative Care Medicine- 3rd Floor- Suite 6-74, Miami, FL 33155 | 2017-04-13 |
| 1164860987 | Family First Pediatrics P A | Pediatrics | 1049 Willa Springs Dr, Suite 1031, Winter Springs, FL 32708-5246 | 2013-06-14 |
| 1518106400 | Elizabeth Annabelle Persad | Pediatrics | 655 W 8th St, Jacksonville, FL 32209-6511 | 2009-02-17 |
| 1932393717 | Community Hospice of Northeast Florida Inc | Pediatrics | 4266 Sunbeam Rd, Jacksonville, FL 32257-6030 | 2007-09-05 |
| City | PEMBROKE PINES |
| Zip Code | 33024 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.