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Organization
SUNSTATE PHYSICIANS FREEDOM SQUARE LLC
Active
Organization
SUNSTATE PHYSICIANS FREEDOM SQUARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER BROWN (PRESIDENT)
(561) 302-6086
Entity
Organization
Contact information
Practice address
10850 TEMPLE TER STE 300, SEMINOLE, FL 33772-4869
(561) 302-6086
Mailing address
2234 N FEDERAL HWY STE 531, BOCA RATON, FL 33431-7710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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