| Sunstate Physicians Freedom Square LLC | |
|
10850 Temple Ter Ste 300 Seminole FL 33772-4869 | |
| (561) 302-6086 | |
| Not Available |
| Full Name | Sunstate Physicians Freedom Square LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 10850 Temple Ter Ste 300, Seminole, Florida |
| Authorized Official Name and Position | Roger Brown (PRESIDENT) |
| Authorized Official Contact | 5613026086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunstate Physicians Freedom Square LLC 2234 N Federal Hwy Ste 531 Boca Raton FL 33431-7710 | Sunstate Physicians Freedom Square LLC 10850 Temple Ter Ste 300 Seminole FL 33772-4869 Ph: (561) 302-6086 |
| NPI Number | 1326519398 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326519398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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