Organization
SUNMED GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IZDEAN MUFLEH DO (PRESIDENT)
(561) 448-0431
Entity
Organization
Contact information
Practice address
2499 GLADES RD STE 305A, BOCA RATON, FL 33431-7202
(561) 448-0431
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1982
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M6824
FL HF MEDICARE
FL
Enumeration date
08/28/2020
Last updated
01/08/2021
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