# SUNLIFE PEDIATRIC NETWORK INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326251596
- **Authorized official:** MONICA LOPEZ (OFFICE MANAGER)
- **Authorized official phone:** (954) 889-4029

## Contact information

- **Practice address:** 10051 PINES BLVD STE A, PEMBROKE PINES, FL 33024-6187
- **Practice address phone:** (954) 743-2996
- **Practice address fax:** (954) 558-9213
- **Mailing address:** 10051 PINES BLVD STE A, PEMBROKE PINES, FL 33024-6187
- **Mailing address phone:** (954) 743-2996
- **Mailing address fax:** (954) 589-2131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | ME 68933 | FL | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 09/11/2019