MEDICARE: SUNSTATE PHYSICIANS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	261Q00000X	Clinic/Center
3	208M00000X	Hospitalist Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750872545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSTATE PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	2234 N FEDERAL HWY STE 531
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-7710
Country	:	US
Telephone Number	:	727-316-5033
Fax Number	:

Provider Business Practice Location Address
First Line	:	2234 N FEDERAL HWY STE 531
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431
Country	:	US
Telephone Number	:	727-316-5033
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROGER BROWN
Credential	:
Telephone Number	:	561-302-6086

Provider Enumeration Date	:	05/29/2018
Last Update Date	:	12/08/2025

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Directions to “SUNSTATE PHYSICIANS LLC ” Practice Location

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