Sunstate Physicians Freedom Square LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUNSTATE PHYSICIANS FREEDOM SQUARE LLC

Practice address

10850 Temple Ter Ste 300
Seminole, FL 33772-4869

Phone

(561) 302-6086

NPI assigned

Dec 17, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roger Brown

Title

President

Phone

(561) 302-6086

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1326519398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 N FEDERAL HWY STE 531",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 TEMPLE TER STE 300",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724869",
            "telephone_number": "561-302-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSTATE PHYSICIANS FREEDOM SQUARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-302-6086"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Suissa, DMD
• Julia Lynn Sullivan, P.T.A.
• Suncoast Physical Training & Rehabilitation Center Inc
• Sheila Sunderlin, LMT
• Sunshine Pschiatric Associates, LLC
• Devika Suri, PHARMD
• Susan Hudak Boss, D.M.D., P.a.
• Tauba Rebecca Susi, DMD
• Ashley Nicole Sweeney
• Synapsis Mental Health, PLLC

• Internal Medicine Physician in Seminole, FL
• Providers in Seminole, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.