Active NPI
Sunmed Group LLC
- Primary Care Clinic/Center
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SUNMED GROUP LLC
- Practice address
- 2499 Glades Rd Ste 305a
Boca Raton, FL 33431-7202 - Phone
- (561) 448-0431
- NPI assigned
- Aug 28, 2020
- Last updated
- Jan 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Izdean Mufleh, DO
- Title
- President
- Phone
- (561) 448-0431
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2499 Glades Rd Ste 305a
Boca Raton, FL 33431-7202
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-1982
Other practice location 1
2499 Glades Rd Ste 305A
Boca Raton, FL 33431-7202
Phone (561) 486-1449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M6824 | Other | FL | FL HF MEDICARE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2193590 | Sunmed Group LLC | Certificate of waiver | Sep 22, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1053707604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610064000000",
"number": "1093328163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-434-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 GLADES RD STE 305A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317202",
"telephone_number": "561-448-0431"
}
],
"practiceLocations": [
{
"address_1": "2499 Glades Rd Ste 305A",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334317202",
"country_code": "US",
"telephone_number": "561-486-1449",
"fax_number": "561-258-6362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUNMED GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-28",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A",
"authorized_official_last_name": "MUFLEH",
"authorized_official_first_name": "IZDEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-448-0431",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL HF MEDICARE",
"identifier": "M6824",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.